Individual provider Active NPI

Jennifer E Anthony, APRN, AG-ACNP-BC

  • Acute Care Nurse Practitioner
  • Akron, OH
National Provider Identifier
1811565286
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN.CNP.0029375 Issued in OH
Practice address
570 White Pond Dr
Akron, OH 44320-4205
Phone
(330) 869-0124
Fax
(330) 869-2852
NPI assigned
Jun 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN.344921 OH
Acute Care Nurse Practitioner 363LA2100X APRN.CNP.0029375 OH Primary

Addresses

Primary practice location

570 White Pond Dr
Akron, OH 44320-4205

Mailing address

570 White Pond Dr
Akron, OH 44320-4205
Phone (330) 869-0124

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
I20210823003088 OH Practitioner - Nurse Practitioner 1759786122 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bloomington Medical Services LLCGroup PAC ID 9032297627, 106 clinicians
Gastroenterology Group IncGroup PAC ID 0244228518, 12 clinicians

Practice addresses (Care Compare)

1761 Beall Ave
Suite H 105
Wooster, OH 44691-2342
Phone (330) 202-5700

6724 Wales Ave NW
Massillon, OH 44646-9006
Phone (330) 869-0954

Hospital & facility affiliations

  • Wooster Community Hospital Hospital, Wooster, OH, CCN 360036
  • Summa Health System Hospital, Akron, OH, CCN 360020
  • Akron General Medical Center Hospital, Akron, OH, CCN 360027

Merit-based Incentive Payment System (MIPS)

Final score
81.09 of 100Reported as group
Quality
59.24
Promoting interoperability
99
Improvement activities
40
Cost
78.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.344921OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Group Inc CurrentSince Oct 13, 2025 Accepting new patients
Akron Digestive Disease Consultants, Inc CurrentSince Aug 1, 2021 Accepting new patients
Bloomington Medical Services LLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

570 White Pond Dr
Ste 150
Akron, OH 44320
Phone (330) 869-0173

570 White Pond Dr
Ste 200
Akron, OH 44320

3800 Embassy Pkwy
Ste 100
Akron, OH 44333

6724 Wales Ave NW
Massillon, OH 44646
Phone (330) 837-4264

1761 Beall Ave
Ste H105
Wooster, OH 44691
Phone (330) 202-5710

1761 Beall Ave
Wooster, OH 44691
Phone (330) 263-8100

Organizations & group practices 3

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 5

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": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1811565286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 WHITE POND DR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443204205",
            "telephone_number": "330-869-0124",
            "fax_number": "330-869-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 WHITE POND DR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443204205",
            "telephone_number": "330-869-0124",
            "fax_number": "330-869-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "APRN, AG-ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "RN.344921",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.0029375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.