Individual provider Active NPI

Jessica St. John, CNP

  • Family Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1245632272
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.16638 Issued in OH
Practice address
3165 Dayton Xenia Rd
Dayton, OH 45434-6309
Phone
(937) 912-0509
NPI assigned
Sep 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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.16638 OH Primary

Addresses

Primary practice location

3165 Dayton Xenia Rd
Dayton, OH 45434-6309

Mailing address

PO Box 932958
Cleveland, OH 44193-0028

Other practice location 1

1175 S College Mall Rd
Bloomington, IN 47401-6177
Phone (812) 323-4321

Other practice location 2

3100 S Sheridan Blvd
Denver, CO 80227-5541
Phone (303) 742-3173

Other practice location 3

3200 Plaza East Dr
Hutchinson, KS 67502-1607
Phone (620) 860-1679

Other practice location 4

212 Kroger Way
Versailles, KY 40383-1991
Phone (859) 297-1072

Other names 1

  • Jessica Torres Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KS, IN, KY, CO5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20150105001051 OH Practitioner - Nurse Practitioner 4688997364 Reassigns benefits to 2 organizations
I20210112000213 KS Practitioner - Nurse Practitioner 4688997364 Reassigns benefits to 2 organizations
I20210721002914 IN Practitioner - Nurse Practitioner 4688997364 Reassigns benefits to 1 organization
I20210810002258 KY Practitioner - Nurse Practitioner 4688997364 Reassigns benefits to 2 organizations
I20230906004250 CO Practitioner - Nurse Practitioner 4688997364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Little Clinic of in LLCGroup PAC ID 7719118447, 66 clinicians
Kiosk Medicine Kentucky LLCGroup PAC ID 6002887510, 169 clinicians
The Little Clinic of Colorado, LLCGroup PAC ID 5597821280, 65 clinicians
Little Clinic of Kansas LLCGroup PAC ID 7416268461, 35 clinicians
The Little Clinic of Ohio LLCGroup PAC ID 7719087584, 212 clinicians

Practice addresses (Care Compare)

1330 W Southport Rd
Indianapolis, IN 46217-5301
Phone (317) 884-4256

279 N Hubbards LN
Louisville, KY 40207-2266
Phone (502) 618-8058

2810 Quebec St
Denver, CO 80207-2900
Phone (303) 370-5870

4747 S Broadway Ave
Wichita, KS 67216-1739
Phone (316) 529-3084

7059 Orchard Centre Dr
Holland, OH 43528-7961
Phone (567) 297-4117

7984 W Alameda Ave
Lakewood, CO 80226-3025
Phone (303) 459-7105

Merit-based Incentive Payment System (MIPS)

Final score
84.32 of 100Reported as group
Quality
70.82
Promoting interoperability
100
Improvement activities
40
Cost
76.93

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
Quality
66.02
Promoting interoperability
100
Improvement activities
40
Cost
79.72

Merit-based Incentive Payment System (MIPS)

Final score
85.29 of 100Reported as group
Quality
71.33
Promoting interoperability
100
Improvement activities
40
Cost
79.65

Merit-based Incentive Payment System (MIPS)

Final score
86.78 of 100Reported as group
Quality
71.59
Promoting interoperability
100
Improvement activities
40
Cost
84.34

Merit-based Incentive Payment System (MIPS)

Final score
83.89 of 100Reported as group
Quality
67.99
Promoting interoperability
100
Improvement activities
40
Cost
78.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.16638OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Colorado, LLC Family CurrentSince Jul 24, 2023 Accepting new patients
Kiosk Medicine Kentucky LLC Family CurrentSince Aug 3, 2021 Accepting new patients
Little Clinic of in LLC Family CurrentSince Jun 1, 2021 Accepting new patients
Signify Health Medical Associates of Kansas LLC CurrentSince Apr 2, 2024 Accepting new patients
Signify Health, LLC CurrentSince Mar 16, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3100 S Sheridan Blvd
Denver, CO 80227
Phone (303) 742-3179

7984 W Alameda Ave
Lakewood, CO 80226
Phone (303) 459-7105

1175 S College Mall Rd
Bloomington, IN 47401
Phone (812) 323-4301

815 Highlander Point Dr
Floyds Knobs, IN 47119
Phone (812) 923-7146

1330 W Southport Rd
Indianapolis, IN 46217
Phone (317) 884-4250

5350 E Thompson Rd
Indianapolis, IN 46237
Phone (317) 396-0814

279 N Hubbards LN
Louisville, KY 40207
Phone (502) 618-8058

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

1265 Goss Ave
Louisville, KY 40217
Phone (502) 634-0649

2219 Holiday Manor Ctr
Louisville, KY 40222
Phone (502) 394-9483

212 Kroger Way
Versailles, KY 40383
Phone (859) 297-1072

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

2620 Elm Hill Pike
Nashville, TN 37214
Phone (615) 425-4211

2620 Elm Hill Pike
#100
Nashville, TN 37214

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: jessica.stjohn@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 8

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": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1245632272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3165 DAYTON XENIA RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454346309",
            "telephone_number": "937-912-0509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1175 S College Mall Rd",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474016177",
            "country_code": "US",
            "telephone_number": "812-323-4321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 S Sheridan Blvd",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802275541",
            "country_code": "US",
            "telephone_number": "303-742-3173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 Plaza East Dr",
            "address_purpose": "LOCATION",
            "city": "Hutchinson",
            "state": "KS",
            "postal_code": "675021607",
            "country_code": "US",
            "telephone_number": "620-860-1679",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "212 Kroger Way",
            "address_purpose": "LOCATION",
            "city": "Versailles",
            "state": "KY",
            "postal_code": "403831991",
            "country_code": "US",
            "telephone_number": "859-297-1072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST. JOHN",
        "first_name": "JESSICA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.16638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "TORRES",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.