NPIMap

Individual provider Active NPI

Justine Ingersoll, FNP, CNP

  • Nurse Practitioner
  • Akron, OH
National Provider Identifier
1902447329
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.025772 Issued in OH
Practice address
75 Arch St Ste G2
Akron, OH 44304-1430
Phone
(330) 375-4100
NPI assigned
Oct 7, 2019
Last updated
Dec 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.025772 OH Primary

Addresses

Primary practice location

75 Arch St Ste G2
Akron, OH 44304-1430

Mailing address

1515 Jefferson Ave
Akron, OH 44313-7704
Phone (330) 375-4100

Other practice location 1

1515 Jefferson Ave
Akron, OH 44313-7704
Phone (216) 224-2824

Other practice location 2

113 Cedar St S
East Canton, OH 44730-1305
Phone (330) 488-0767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200325002236 OH Practitioner - Nurse Practitioner 5991133951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
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)

155 5TH St NE
Barberton, OH 44203-3332

161 N Forge St
Akron, OH 44304-1483

525 E Market St
Akron, OH 44304-1619

95 Arch St
Suite 215
Akron, OH 44304-1467
Phone (330) 434-4145

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.025772OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC Current Accepting new patients
Summa Physicians LLC Nurse Practitioner CurrentSince Mar 2, 2020 Accepting new patients
Summa Physicians LLC CurrentSince Mar 2, 2020 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

75 Arch St
Ste G2
Akron, OH 44304
Phone (330) 375-3039

Interoperability endpoints

  • Direct secure messaging: jingersoll25442@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.

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": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1902447329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 JEFFERSON AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443137704",
            "telephone_number": "330-375-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 ARCH ST STE G2",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041430",
            "telephone_number": "330-375-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443137704",
            "country_code": "US",
            "telephone_number": "216-224-2824",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "113 Cedar St S",
            "address_purpose": "LOCATION",
            "city": "East Canton",
            "state": "OH",
            "postal_code": "447301305",
            "country_code": "US",
            "telephone_number": "330-488-0767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INGERSOLL",
        "first_name": "JUSTINE",
        "credential": "FNP, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.025772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.