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JACOB R NICHOLSON II
NPI 1407781073
Nurse Practitioner - Acute Care in Akron, OH

Active since June 16, 2026PECOS Enrolled
75 ARCH ST STE 201, AKRON, OH 44304(330) 375-7055(234) 312-2301 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jacob R Nicholson Ii NPPES

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

JACOB R NICHOLSON II (NPI 1407781073) is an individual acute care provider in Akron, Ohio, licensed in Ohio (APRN.CNP.0042452) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1407781073
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameJACOB R NICHOLSON II
Location Address75 ARCH ST STE 201Akron, OH 44304-1431
Mailing Address75 Arch St Ste 201Akron, OH 44304-1431 · (330) 375-7055 · Fax (234) 312-2301
Phone(330) 375-7055
Fax(234) 312-2301
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1407781073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in OH · APRN.CNP.0042452
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License RN.389822 (OH)
75 ARCH ST STE 201, Akron, OH 44304
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob R Nicholson Ii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305300393
PECOS Enrollment IDI20260710001240
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

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

Summa Physicians LLC
Same address
Thoracic Surgery (Cardiothoracic Vascular Surgery)
75 ARCH ST STE 302
Akron, OH 44304
  • Reassigned Medicare billing, Ohio enrollment
  • 655 clinicians in this Medicare group
NPI 1033447511 (330) 384-9001

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

ALEXANDER VENIZELOS MD
Psychiatry & Neurology (Neurology)
75 ARCH ST STE 201
AKRON, OH 44304
Summit County (330) 375-7055
DIANA SLAWSKI MD
Psychiatry & Neurology (Vascular Neurology)
75 ARCH ST STE 201
AKRON, OH 44304
Summit County (877) 323-9067
MATTHEW BOWER MD
Psychiatry & Neurology (Neurocritical Care)
75 ARCH ST STE 201
AKRON, OH 44304
Summit County (330) 375-7055
MRS. JESSICA M ROBERTS CNP
Nurse Practitioner (Family)
75 ARCH ST STE 201
AKRON, OH 44304
Summit County (330) 375-7055
DIYA BHAVESH PATEL
Physician Assistant (Medical)
75 ARCH ST STE 201
AKRON, OH 44304
Summit County (877) 323-9067
KATELYNN NGUYEN RT(R), PA-C
Physician Assistant
75 ARCH ST STE 201
AKRON, OH 44304
Summit County (330) 375-7055
MEGAN GALLAGHER APRN
Nurse Practitioner (Primary Care)
75 ARCH ST STE 201
AKRON, OH 44304
Summit County (330) 375-7055
SUMMA PHYSICIANS LLC
Psychiatry & Neurology (Neurology)
75 ARCH ST STE 201
AKRON, OH 44304
Summit County (330) 375-7055

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 Jacob Nicholson's NPI number?

The NPI number for Jacob Nicholson is 1407781073. It was assigned to this individual provider in the NPPES registry on June 16, 2026.

Where is Jacob Nicholson located?

Jacob Nicholson practices at 75 Arch St Ste 201, Akron, OH 44304. The listed phone number is (330) 375-7055.

What is Jacob Nicholson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jacob Nicholson enrolled in Medicare?

Yes. Jacob Nicholson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacob Nicholson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Nicholson reassigns Medicare benefits to Summa Physicians LLC (Akron, OH). 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 Jacob Nicholson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacob Nicholson was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.