Individual provider Active NPI

Kandiss Messer

  • Psychiatric/Mental Health Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1023732690
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0036234 Issued in OH
Practice address
3085 Woodman Dr Ste 205
Dayton, OH 45420-1171
Phone
(937) 714-2104
Fax
(937) 915-0761
NPI assigned
Sep 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN349741 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0036234 OH Primary

Addresses

Primary practice location

3085 Woodman Dr Ste 205
Dayton, OH 45420-1171

Mailing address

3085 Woodman Dr Ste 205
Dayton, OH 45420-1171
Phone (937) 704-2104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240720000133 OH Practitioner - Nurse Practitioner 2668918160 Reassigns benefits to 1 organization
Practice locations: Dayton, OH

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kav Health Group LLCGroup PAC ID 2466806864, 7 clinicians

Practice addresses (Care Compare)

5563 Far Hills Ave
Dayton, OH 45429-2225
Phone 93729123004159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN349741OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kav Health Group, LLC CurrentSince Sep 26, 2024 Accepting new patients
Kav Health Group LLC CurrentSince Sep 26, 2024 Accepting new patients

Locations

5563 Far Hills Ave
Kettering, OH 45429
Phone (937) 291-2300

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/kavrecovery/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1023732690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 WOODMAN DR STE 205",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454201171",
            "telephone_number": "937-704-2104",
            "fax_number": "937-915-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 WOODMAN DR STE 205",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454201171",
            "telephone_number": "937-714-2104",
            "fax_number": "937-915-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSER",
        "first_name": "KANDISS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN349741",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0036234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.