Jeanean D Small, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0030067 Issued in OH

Practice address

55 Shiawassee Ave Ste 10G
Fairlawn, OH 44333-3700

Phone

(330) 286-4011

Fax

(330) 286-4011

NPI assigned

Dec 31, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Specialty

Nurse Practitioner

Education

University of Cincinnati College of Medicine, 2020

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)

Merit-based Incentive Payment System (MIPS)

Final score

76.8 of 100Reported as group

Quality

69.32

Improvement activities

40

Cost

78.93

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19801/brand/1/csg/1/fhir/r4
• Direct secure messaging: jeanean.small@779530956636164.direct.elationemr.com
• FHIR API: https://api.platform.athenahealth.com/1576/brand/1/csg/22/fhir/r4

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.

• Summa Physicians LLC

  • Obstetrics & Gynecology Physician
  • Akron, OH
  • NPI 1235167719
  Medicare reassignment Care Compare group NPD
• Urgent Care Specialists, LLC

  • Urgent Care Clinic/Center
  • Huber Heights, OH
  • NPI 1114957123
  Medicare reassignment NPD
• Quick Med Urgent Care LLC

  • Urgent Care Clinic/Center
  • Youngstown, OH
  • NPI 1528528726
  NPD
• Summa Physicians LLC

  • Family Medicine Physician
  • Rittman, OH
  • NPI 1083851869
  NPD
• Summa Physicians LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Uniontown, OH
  • NPI 1457662769
  NPD

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

{
    "created_epoch": "1546214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662854400000",
    "number": "1245702208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SHIAWASSEE AVE STE 10G",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333700",
            "telephone_number": "330-286-4011",
            "fax_number": "330-286-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SHIAWASSEE AVE STE 10G",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333700",
            "telephone_number": "330-286-4011",
            "fax_number": "330-286-4011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1949 W Market St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443136910",
            "country_code": "US",
            "telephone_number": "330-867-5401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMALL",
        "first_name": "JEANEAN",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-31",
        "last_updated": "2022-09-11",
        "certification_date": "2022-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.410483",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0030067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn L. Skolnik, LPCC
• SLB Medical LLC
• Danielle Sliman
• Maureen E Sloan, CNP
• Paige K Slovisky
• Dewan Elizabeth Smith-Murray, BSN, RN, MSN,PMHAPRN
• Andre Smith
• Antoinette Smith
• Arlin T Smith, REGISTER NURSE
• Chevonne Smith, MSN, APRN-CNP, CCRN

• Family Nurse Practitioner in Fairlawn, OH
• Providers in Fairlawn, 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 Sep 11, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.