Individual provider Active NPI

Kristine Elizabeth Jacobson, APRN-CNS/CNP

  • Primary Care Nurse Practitioner
  • Barberton, OH
National Provider Identifier
1245459684
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN.CNP.0032224 Issued in OH
Practice address
201 5TH St NE Ste 16
Barberton, OH 44203-3017
Phone
(330) 615-3070
Fax
(234) 312-2427
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Clinical Nurse Specialist 364SA2100X APRN.CNS.09037 OH
Critical Care Medicine Clinical Nurse Specialist 364SC0200X APRN.CNS.09037 OH
Primary Care Nurse Practitioner 363LP2300X APRN.CNP.0032224 OH Primary
Neuroscience Clinical Nurse Specialist 364SN0800X APRN.CNS.09037 OH

Addresses

Primary practice location

201 5TH St NE Ste 16
Barberton, OH 44203-3017

Mailing address

1650 17TH St
Cuyahoga Falls, OH 44223-1806
Phone (330) 322-0130

Other identifiers 3

IdentifierTypeStateIssuer
APRN.CNS.09037OtherOHAPRN LICENSE
APRN.CNP.0032224OtherOHAPRN LICENSE
RN 301174OtherOHRN LICENSE

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
I20250425000068 OH Practitioner - Nurse Practitioner 1658411426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
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)

155 5TH St NE
Barberton, OH 44203-3332

201 5TH St NE
Barberton, OH 44203-3017

525 E Market St
Akron, OH 44304-1619

75 Arch St
Akron, OH 44304-1431

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
59.13
Promoting interoperability
99
Improvement activities
40
Cost
75.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0032224OHMDPrimary Care Nurse Practitioner
APRN.CNS.09037OHMDNeuroscience Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC Current Accepting new patients
Summa Physicians LLC CurrentSince May 19, 2025 Accepting new patients
Summa Physicians LLC CurrentSince May 19, 2025 Accepting new patients
Summa Physicians LLC Past Accepting new patients
Neurology and Neuroscience Associates, Inc. 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

201 5th St NE
Ste 16
Barberton, OH 44203
Phone (330) 615-3070

3724 Center Rd
Ste 103
Brunswick, OH 44212
Phone (330) 273-4443

Interoperability endpoints

  • Direct secure messaging: kjacobson20339@nomshealthcare.direct-ci.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 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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1245459684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 17TH ST",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442231806",
            "telephone_number": "330-322-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 5TH ST NE STE 16",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442033017",
            "telephone_number": "330-615-3070",
            "fax_number": "234-312-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "KRISTINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "APRN-CNS/CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "OH",
            "license": "APRN.CNS.09037",
            "primary": false
        },
        {
            "code": "364SC0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Critical Care Medicine",
            "state": "OH",
            "license": "APRN.CNS.09037",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "APRN.CNP.0032224",
            "primary": true
        },
        {
            "code": "364SN0800X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Neuroscience",
            "state": "OH",
            "license": "APRN.CNS.09037",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "APRN.CNS.09037",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "APRN.CNP.0032224",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "RN 301174",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barberton, OH

Sources for this page

Verify at the official NPI Registry.