NPIMap

Individual provider Active NPI

Jay D Davis, FNP-C

  • Family Nurse Practitioner
  • State College, PA
National Provider Identifier
1225702889
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP023380 Issued in PA
Practice address
2505 Green Tech Dr Ste C
State College, PA 16803-2316
Phone
(844) 237-6600
Fax
(814) 234-7587
NPI assigned
Aug 5, 2021
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0038094 OH
Family Nurse Practitioner 363LF0000X SP023380 PA Primary

Addresses

Primary practice location

2505 Green Tech Dr Ste C
State College, PA 16803-2316

Mailing address

1800 E Park Ave
State College, PA 16803-6701
Phone (814) 231-7100

Other practice location 1

115 Union Ave
Altoona, PA 16602-3245
Phone (866) 383-4156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210908002276 PA Practitioner - Nurse Practitioner 5395141840 Reassigns benefits to 2 organizations
I20250620003180 OH Practitioner - Nurse Practitioner 5395141840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

205 Hampton Ave
Punxsutawney, PA 15767-2133
Phone (814) 938-0148

2520 Green Tech Dr
Suite C
State College, PA 16803-2308
Phone (814) 278-4898

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.88 of 100Reported as group
Quality
62.63
Promoting interoperability
100
Improvement activities
40
Cost
70.3

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0038094OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Altoona Regional Health Services, Inc CurrentSince Apr 25, 2022 Accepting new patients
Mount Nittany Medical Center Health Services Inc CurrentSince Mar 1, 2024 Accepting new patients
Upmc Altoona Regional Health Services, Inc CurrentSince Apr 25, 2022 Accepting new patients
Stark Recovery Associates, LLC CurrentSince Apr 7, 2025 Accepting new patients
Mount Nittany Medical Center Health Services Inc Past Accepting new patients

Locations

3801 Whipple Ave NW
Ste 1
Canton, OH 44718
Phone (216) 413-0413

1400 9th Ave
Altoona, PA 16602
Phone (814) 941-8811

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

141 Medical Park Ln
Bellefonte, PA 16823
Phone (814) 355-7322

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

1850 E Park Ave
Ste 201
State College, PA 16803
Phone (814) 234-8800

2520 Green Tech Dr
Ste C
State College, PA 16803
Phone (814) 278-4898

Organizations & group practices 5

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.

Hospital & facility affiliations 34

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1225702889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 E PARK AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168036701",
            "telephone_number": "814-231-7100",
            "fax_number": "814-238-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 GREEN TECH DR STE C",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032316",
            "telephone_number": "844-237-6600",
            "fax_number": "814-234-7587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Union Ave",
            "address_purpose": "LOCATION",
            "city": "Altoona",
            "state": "PA",
            "postal_code": "166023245",
            "country_code": "US",
            "telephone_number": "866-383-4156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JAY",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-05",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0038094",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP023380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.