Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica Rae Bussey

Individual provider Registered Nurse · NPI 1801399415

Jessica Rae Bussey is a Nurse Practitioner in Coventry Township, Ohio. Qualified in 2018, 8 years ago. Practices with Summa Physicians LLC, a 688-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
8
Licensed in
OH
In the registry since
2018
Specialties on file
2

Practice location Address checks out

500 Portage Lakes Dr
Coventry Township, OH 44319-2299
Phone: (234) 867-6626
Fax: (234) 867-7766
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 025701 (OH)
Registered Nurse Taxonomy 163W00000X · Licence 275312 (OH)

Record details

NPI number1801399415
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 10, 2018
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Summa Physicians Llc — 688 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Coventry Township