JESSICA A GUMUCIO (NURSE PRACTITIONER) – Adult Health Nurse Practitioner, NPI 1669652400

JESSICA A GUMUCIO (NURSE PRACTITIONER) is a healthcare provider. based in Highland hills, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. SP.8880 (OH). The NPI Number for JESSICA A GUMUCIO (NURSE PRACTITIONER) is 1669652400

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA A GUMUCIO (NURSE PRACTITIONER)
NPI
1669652400
Phone
(216) 292-9700
Address
4255 Northfield Rd
Enumeration Date
9 November 2007
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4406954000
Graduation Year
2017 (9 years ago)
PAC ID
8820362940
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20170927003274
Address ID
OH440111390AV33100BLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for JESSICA A GUMUCIO (NURSE PRACTITIONER)

  • 4255 Northfield Rd

    Highland Hills, OH 441282811

    Phone: (216) 292-9700

    Fax: (216) 378-4613

    Type: Location

  • 33355, Health Campus Boulevard, Avon, Lorain County, Ohio, 44011, United States

    AVON, OH 440114404

    Phone: (216) 445-8442

    Fax: (216) 636-2634

    Type: Mailing

  • Cleveland Clinic, 9500, Euclid Avenue, Newton Avenue Historic District, University Circle, Cleveland, Cuyahoga County, Ohio, 44195, United States

    CLEVELAND, OH 441952811

    Phone: (216) 444-8078

    Fax: (216) 636-2634

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-09-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170927003274INurse PractitionerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes509145$0
99239Hospital discharge day management, more than 30 minutes4949$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3425$0
View full utilization report →

Insurance plans in this area (ZIP 44128)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

Can I verify JESSICA A GUMUCIO (NURSE PRACTITIONER) with an NPI only?
You can start verification with NPI 1669652400 for JESSICA A GUMUCIO (NURSE PRACTITIONER), then check state licensing separately.
Does the file indicate JESSICA A GUMUCIO (NURSE PRACTITIONER) is practicing under active NPI?
Directory data currently reports JESSICA A GUMUCIO (NURSE PRACTITIONER) as active.
What taxonomy line describes JESSICA A GUMUCIO (NURSE PRACTITIONER)?
For research purposes, treat JESSICA A GUMUCIO (NURSE PRACTITIONER) as Adult Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for JESSICA A GUMUCIO (NURSE PRACTITIONER)?
JESSICA A GUMUCIO (NURSE PRACTITIONER)'s geographic hint is Highland Hills, Ohio in our summary view.
Is the information about JESSICA A GUMUCIO (NURSE PRACTITIONER) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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