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JESSICA PAIGE SUMMERS SLP
NPI 1336764273
Speech-Language Pathologist in Edwardsville, IL

Active since June 16, 2020
910 N MAIN ST, EDWARDSVILLE, IL 62025(618) 581-8304 Get Directions Write a Review

NPPES record last updated: June 16, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jessica Paige Summers Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA PAIGE SUMMERS SLP (NPI 1336764273) is an individual speech-language pathologist provider in Edwardsville, Illinois, licensed in Illinois (242.005292) and active in the NPI registry since June 2020. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1336764273
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJESSICA PAIGE SUMMERSCredential: SLP
Location Address910 N MAIN STEdwardsville, IL 62025-1116
Mailing Address910 N Main StEdwardsville, IL 62025-1116
Phone(618) 581-8304
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 16, 2020
NPPES CertifiedJune 16, 2020
✔ NPI 1336764273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in IL · 242.005292
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
910 N MAIN ST, Edwardsville, IL 62025
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Paige Summers Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638666217
PECOS Enrollment IDI20251016002551

Medicare Billing Reassignment

Medicare enrollment records show Jessica Summers reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ellenbecker And Borsellino PLLC
249 mi
Speech-Language Pathologist
1994 GALLATIN PIKE N STE 202
Madison, TN 37115
  • Reassigned Medicare billing, Tennessee enrollment
  • 7 clinicians in this Medicare group
NPI 1215499447 (615) 596-1830

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRYCE FREDERICK SULLIVAN PH.D.
Psychologist (Clinical)
910 N MAIN ST
EDWARDSVILLE, IL 62025
Madison County (618) 659-8787
ELLEN SNYDERS
Speech-Language Pathologist
910 N MAIN ST
EDWARDSVILLE, IL 62025
Madison County (618) 581-8304
DR. JEREMY DEAN JEWELL PH.D.
Psychologist
910 N MAIN ST
EDWARDSVILLE, IL 62025
Madison County (618) 659-8787

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Summers's NPI number?

The NPI number for Jessica Summers is 1336764273. It was assigned to this individual provider in the NPPES registry on June 16, 2020.

Where is Jessica Summers located?

Jessica Summers practices at 910 N Main St, Edwardsville, IL 62025. The listed phone number is (618) 581-8304.

What is Jessica Summers's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Jessica Summers enrolled in Medicare?

Yes. Jessica Summers is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Summers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Summers reassigns Medicare benefits to Ellenbecker And Borsellino PLLC (Madison, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Summers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Summers accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Jessica Summers as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Summers was last updated on June 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.