Jessica Marie Buccigrossi, LPN-M-IV
Individual provider Active NPI Licensed Practical Nurse · Wadsworth, OH
NPI 1346522885 · NPPES record last updated Sep 11, 2011
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jul 20, 2022.
Key facts
- NPI
- 1346522885
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN.137949-M-IV (OH)
- Practice address
- 235 Hillsdale Cir
Wadsworth, OH 44281-1007 - Phone
- (330) 524-2691
- NPI assigned
- Sep 11, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN.137949-M-IV | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN.137949-M-IV | OH | Yes |
Addresses
Primary practice location
235 Hillsdale Cir
Wadsworth, OH 44281-1007
Mailing address
235 Hillsdale Cir
Wadsworth, OH 44281-1007
Phone (330) 524-2691
Other providers in Wadsworth, OH
- Mark Steven Brigham
- Ramona Britenriker
- David Lawrence Brown
- Kathryn Nicole Brown
- Bruce L Manning
- Heidi Deann Buckingham-Summers
- Brandon D Bupp
- Kelly Marie Burkhart
- Regis P Burlas
- Shannon Burton
All providers in Wadsworth, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.