Individual provider Active NPI

Jamie Lynn Bole, CNP

  • Adult Health Nurse Practitioner
  • Canton, OH
National Provider Identifier
1679191902
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN-CNP0027428 Issued in OH
Practice address
4650 Hills and Dales Rd NW Ste 200
Canton, OH 44708-6221
Phone
(330) 491-9675
NPI assigned
Jul 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN-CNP0027428 OH Primary

Addresses

Primary practice location

4650 Hills and Dales Rd NW Ste 200
Canton, OH 44708-6221

Mailing address

4650 Hills and Dales Rd NW Ste 200
Canton, OH 44708-6221

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
I20200910002650 OH Practitioner - Nurse Practitioner 9335567155 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-CNP0027428OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Physician Professional Corporation CurrentSince Apr 8, 2022 Accepting new patients
Vpa PC CurrentSince Oct 1, 2020 Accepting new patients
Aultman North Canton Medical Group CurrentSince Aug 8, 2022 Accepting new patients
Vpa PC Current Accepting new patients
Vpa PC CurrentSince Oct 1, 2020 Accepting new patients
Vpa PC Current Accepting new patients

Locations

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

3515 Massillon Rd
Ste 250
Green, OH 44685
Phone (330) 734-6015

6046 Whipple Ave NW
#B
North Canton, OH 44720
Phone (330) 491-1670

6046 Whipple Ave NW
North Canton, OH 44720
Phone (330) 433-1200

6100 Whipple Ave NW
North Canton, OH 44720
Phone (330) 244-8778

7206 Market St
Ste A
Youngstown, OH 44512
Phone (330) 726-3379

Interoperability endpoints

  • Direct secure messaging: jamie.bole.p1@direct.gastroandhepatology.nextgenshare.com
  • Direct secure messaging: jamie.bole@direct.aultman.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.

NPI Registry JSON

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1679191902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 HILLS AND DALES RD NW STE 200",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447086221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 HILLS AND DALES RD NW STE 200",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447086221",
            "telephone_number": "330-491-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLE",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN-CNP0027428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.