Individual provider Active NPI

Jennifer Louise Bryant, APRN -CNP

  • Family Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1073011888
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.021826 Issued in OH
Practice address
999 Brubaker Dr Ste 3
Dayton, OH 45429-3505
Phone
(937) 668-9850
NPI assigned
Jan 26, 2018
Last updated
Jan 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.021826 OH Primary

Addresses

Primary practice location

999 Brubaker Dr Ste 3
Dayton, OH 45429-3505

Mailing address

30 Inwood Rd
Wilmington, OH 45177-8353
Phone (937) 901-0772

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
I20181119001408 OH Practitioner - Nurse Practitioner 1254685860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Skin Surgery and Cosmetic CenterGroup PAC ID 7517387970, 3 clinicians

Practice addresses (Care Compare)

999 Brubaker Dr
Suite 3
Dayton, OH 45429-3667
Phone (937) 668-9850

Merit-based Incentive Payment System (MIPS)

Final score
45 of 100Reported as individual
Quality
0
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.021826OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Skin Surgery and Cosmetic Center CurrentSince Mar 15, 2023 Accepting new patients

Locations

999 Brubaker Dr
Ste 3
Kettering, OH 45429
Phone (937) 668-9850

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1073011888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 INWOOD RD",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451778353",
            "telephone_number": "937-901-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 BRUBAKER DR STE 3",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454293505",
            "telephone_number": "937-668-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "JENNIFER",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "APRN -CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-26",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.021826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.