Individual provider Active NPI

Jessica M Roberts, CNP

  • Family Nurse Practitioner
  • Akron, OH
National Provider Identifier
1174080071
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.024340 Issued in OH
Practice address
75 Arch St Ste 201
Akron, OH 44304-1431
Phone
(330) 375-7055
NPI assigned
Feb 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.024340 OH Primary

Addresses

Primary practice location

75 Arch St Ste 201
Akron, OH 44304-1431

Mailing address

75 Arch St Ste 201
Akron, OH 44304-1431
Phone (330) 375-7055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190307000550 OH Practitioner - Nurse Practitioner 8527307685 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

525 E Market St
Akron, OH 44304-1619

95 Arch St
Suite 215
Akron, OH 44304-1467
Phone (330) 434-4145

Hospital & facility affiliations

  • Summa Health System Hospital, Akron, OH, CCN 360020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC CurrentSince Jan 27, 2020 Accepting new patients
Summa Physicians LLC CurrentSince Jan 27, 2020 Accepting new patients
Affinity Care of Ohio LLC Family CurrentSince Jul 1, 2022 Accepting new patients
Summa Physicians LLC Current Accepting new patients
Radiology Associates of Canton, Inc. Past Accepting new patients
Summa Physicians LLC Past Accepting new patients

Locations

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

75 Arch St
Ste 201
Akron, OH 44304
Phone (330) 375-7055

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

9349 Waterstone Blvd
Ste 340
Cincinnati, OH 45249
Phone (513) 997-6600

2207 Olympic St
Springfield, OH 45503
Phone (937) 324-5789

Interoperability endpoints

  • Direct secure messaging: jdavidson23099@summahealth-direct.org

Organizations & group practices 6

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

Hospital & facility affiliations 3

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": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1174080071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 ARCH ST STE 201",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041431",
            "telephone_number": "330-375-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 ARCH ST STE 201",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041431",
            "telephone_number": "330-375-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JESSICA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-27",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.