Active NPI
Jade Myers
- Physician Assistant
- Miamisburg, OH
National Provider Identifier
1225624133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.006803RX
- Practice address
- 4000 Miamisburg Centerville Rd Ste 410
Miamisburg, OH 45342-3758 - Phone
- (937) 384-8773
- NPI assigned
- Dec 15, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | OH | ||
| Physician Assistant | 363A00000X | 50.006803RX | OH | Primary |
Addresses
Primary practice location
4000 Miamisburg Centerville Rd Ste 410
Miamisburg, OH 45342-3758
Mailing address
1 Prestige PL Ste 550
Miamisburg, OH 45342-6115
Phone (937) 762-1310
Other practice location 1
7901 Diley Rd
Canal Winchester, OH 43110-9612
Phone (614) 920-1000
Other practice location 2
2253 Olympic St Ste B
Springfield, OH 45503-2736
Phone (937) 419-0920
Other practice location 3
2115 Leiter Rd Ste 100
Miamisburg, OH 45342-3698
Phone (937) 866-0741
Other practice location 4
3535 Pentagon Blvd Ste 210
Beavercreek, OH 45431-1705
Phone (855) 500-2873
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/ | ||
| Direct Messaging Address | jmyers629898@direct.ketteringhealth.org |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250813002932 | OH | Order and Referring Only - Physician Assistant | 4789062555 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1225624133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PRESTIGE PL STE 550",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453426115",
"telephone_number": "937-762-1310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 MIAMISBURG CENTERVILLE RD STE 410",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453423758",
"telephone_number": "937-384-8773"
}
],
"practiceLocations": [
{
"address_1": "7901 Diley Rd",
"address_purpose": "LOCATION",
"city": "Canal Winchester",
"state": "OH",
"postal_code": "431109612",
"country_code": "US",
"telephone_number": "614-920-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2253 Olympic St Ste B",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "OH",
"postal_code": "455032736",
"country_code": "US",
"telephone_number": "937-419-0920",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2115 Leiter Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Miamisburg",
"state": "OH",
"postal_code": "453423698",
"country_code": "US",
"telephone_number": "937-866-0741",
"fax_number": "937-866-8861",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3535 Pentagon Blvd Ste 210",
"address_purpose": "LOCATION",
"city": "Beavercreek",
"state": "OH",
"postal_code": "454311705",
"country_code": "US",
"telephone_number": "855-500-2873",
"fax_number": "937-281-3805",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYERS",
"first_name": "JADE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-15",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.006803RX",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
"affiliation": "N",
"address_1": "4000 Miamisburg Centerville Rd Ste 410",
"city": "Miamisburg",
"state": "OH",
"country_code": "US",
"postal_code": "453423758",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jmyers629898@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "4000 Miamisburg Centerville Rd Ste 410",
"city": "Miamisburg",
"state": "OH",
"country_code": "US",
"postal_code": "453423758",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Miamisburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.