Jessica Lynn McCune, MSN FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA.18304-NP Issued in OH

Practice address

1455 Harrison Ave NW
Canton, OH 44708-2621

Phone

(330) 956-5236

Fax

(330) 956-5345

NPI assigned

Dec 3, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Crossroads Hospice of Northeast

  dba Crossroads Hospice of Northeast Ohio, LLC

  • Community Based Hospice Care Agency
  • Uniontown, OH
  • NPI 1205876653
  Medicare reassignment NPD
• Crossroads Hospice of Northeast Ohio, LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Uniontown, OH
  • NPI 1831806173
  NPD (past)

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449100800000",
    "number": "1184099061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 HARRISON AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447082621",
            "telephone_number": "330-956-5236",
            "fax_number": "330-956-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 HARRISON AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447082621",
            "telephone_number": "330-956-5236",
            "fax_number": "330-956-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUNE",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MSN FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.18304-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebony Sherie McCullough
• Jeunique Jameshia Lynett McCullough
• Martell McCullough
• Rebecca McCullough, LSW
• Carolyn M McCune, NP
• McCurry Enterprises, Inc. (PathLink)
• Nicholas L McDaniel
• Timothy Eugene McDaniel, MD
• Krystle McDonald, LPN
• Megan Kristine McDonald

• Family Nurse Practitioner in Canton, OH
• Providers in Canton, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.