NPIMap

Individual provider Active NPI

Jessica N Staley, PA-C

  • Medical Physician Assistant
  • Akron, OH
National Provider Identifier
1043510050
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
003178 Issued in OH
Practice address
1260 Independence Ave
Akron, OH 44310-1812
Phone
(234) 312-2111
Fax
(330) 634-9558
NPI assigned
Oct 25, 2010
Last updated
Dec 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 003178 OH Primary

Addresses

Primary practice location

1260 Independence Ave
Akron, OH 44310-1812

Mailing address

1260 Independence Ave
Akron, OH 44310-1812
Phone (234) 312-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110125000118 OH Practitioner - Physician Assistant 1759560634 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians
Ohio Physician Professional CorporationGroup PAC ID 2668406059, 143 clinicians

Practice addresses (Care Compare)

1260 Independence Ave
Akron, OH 44310-1812
Phone (234) 312-2111

2600 6TH St SW
Canton, OH 44710-1702
Phone (330) 454-8076

2600 6TH SWST
Canton, OH 44710-1702
Phone (330) 363-1342

2600 W 6TH St
Canton, OH 44710-1702

4634 Hills and Dales Rd NW
Canton, OH 44708-1510
Phone (330) 477-0255

525 E Market St
Akron, OH 44304-1619

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
003178OHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC CurrentSince Nov 24, 2025 Accepting new patients
Summa Physicians LLC CurrentSince Nov 24, 2025 Accepting new patients
Summa Physicians LLC Past Accepting new patients

Locations

1260 Independence Ave
Akron, OH 44310
Phone (234) 312-2111

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

Interoperability endpoints

  • Direct secure messaging: jessicas@neoe.medentdirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1043510050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 INDEPENDENCE AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443101812",
            "telephone_number": "234-312-2111",
            "fax_number": "330-634-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 INDEPENDENCE AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443101812",
            "telephone_number": "234-312-2111",
            "fax_number": "330-634-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALEY",
        "first_name": "JESSICA",
        "middle_name": "N",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "003178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.