Active NPI
Jessica Rae Bussey
- Family Nurse Practitioner
- Coventry Township, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 025701
- Practice address
- 500 Portage Lakes Dr
Coventry Township, OH 44319-2299 - Phone
- (234) 867-6626
- Fax
- (234) 867-7766
- NPI assigned
- Mar 10, 2018
- Last updated
- Jun 12, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 275312 | OH | |
| Family Nurse Practitioner | 363LF0000X | 025701 | OH | Primary |
Addresses
Primary practice location
500 Portage Lakes Dr
Coventry Township, OH 44319-2299
Mailing address
407 W Maple St
North Canton, OH 44720-2719
Phone (336) 682-8051
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
500 Portage Lakes Dr
Suite B
Coventry Township, OH 44319-2299
Phone (234) 571-9933
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 275312 | OH | MD | Registered Nurse |
| 025701 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summa Physicians LLC | Current | Accepting new patients | |
| Summa Physicians LLC | Current | Accepting new patients | |
| Summa Physicians LLC | Current | Accepting new patients | |
| Summa Physicians LLC | Past | Accepting new patients |
Locations
1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691
525 E Market St
Akron, OH 44304
Phone (330) 375-6350
500 Portage Lakes Dr
Ste B
Coventry Township, OH 44319
Phone (330) 245-1608
Interoperability endpoints
- jbussey22192@summahealth-direct.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Summa Health Medical Group
- Obstetrics & Gynecology Physician
- Akron, OH
- NPI 1235167719
-
dba Summa Health Medical Group
- Family Medicine Physician
- Akron, OH
- NPI 1215113337
-
dba Summa Health Medical Group
- Geriatric Medicine (Internal Medicine) Physician
- Uniontown, OH
- NPI 1457662769
-
dba Summa Health Medical Group
- Vascular Surgery Physician
- Akron, OH
- NPI 1891743332
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Summa Health System Ignatia Hall South
- Substance Use Disorder Rehabilitation Clinic/Center
- Canton, OH
- NPI 1295036762
Hospital
-
- General Acute Care Hospital
- Akron, OH
- NPI 1396765681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749686400000",
"number": "1801399415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 W MAPLE ST",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447202719",
"telephone_number": "336-682-8051",
"fax_number": "234-867-7766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 PORTAGE LAKES DR",
"city": "COVENTRY TOWNSHIP",
"state": "OH",
"postal_code": "443192299",
"telephone_number": "234-867-6626",
"fax_number": "234-867-7766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSSEY",
"first_name": "JESSICA",
"middle_name": "RAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-10",
"last_updated": "2025-06-12",
"certification_date": "2025-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "275312",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "025701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coventry Township, OH
- Lorri Jean Barton
- Blissful Beginnings Recovery LLC
- Lindsey Ann Breitfeller, MSW, LSW
- Mitchell Bruno- Frederiksen
- Christopher Blaine Bunting, H.A.S
- Keegan P Byrnes, CPRS, CDCA
- Caring Angels Healthcare LLC.
- Tonya Carpenter, LPN
- David James Caslow, BS, PRS
- Clarkson Optometry Midwest Inc (Clarkson Eyecare)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.