Individual provider Active NPI

Jennifer D Fields, CNP

  • Family Nurse Practitioner
  • New Haven, WV
National Provider Identifier
1265775712
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.14567-NP Issued in OH
Practice address
201 Midway Dr.
New Haven, WV 25265
Phone
(740) 416-4623
NPI assigned
Apr 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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 COA.14567-NP OH Primary

Addresses

Primary practice location

201 Midway Dr.
New Haven, WV 25265

Mailing address

1049 Western Ave
Chillicothe, OH 45601-1104
Phone (740) 773-4366

Other identifiers 1

IdentifierTypeStateIssuer
0087008MedicaidOH

Other names 1

  • Jenniffer D Davis Former name

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
I20130729000854 OH Practitioner - Nurse Practitioner 5395986657 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holzer Clinic LLCGroup PAC ID 5890606008, 266 clinicians

Practice addresses (Care Compare)

100 Jackson Pike
Gallipolis, OH 45631-1560
Phone (740) 446-5050

Hospital & facility affiliations

  • Holzer Medical Center Hospital, Gallipolis, OH, CCN 360054
  • Holzer Medical Center Jackson Hospital, Jackson, OH, CCN 361320
  • Cabell Huntington Hospital, Inc Hospital, Huntington, WV, CCN 510055

Merit-based Incentive Payment System (MIPS)

Final score
62.04 of 100Reported as group
Quality
29.8
Improvement activities
40
Cost
76.6

Merit-based Incentive Payment System (MIPS)

Final score
84.27 of 100Reported as group
Quality
68.56
Promoting interoperability
100
Improvement activities
40
Cost
68.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.14567-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Central Ohio CurrentSince Jul 1, 2022 Accepting new patients
Hopewell Health Centers Inc Current Accepting new patients
Hopewell Health Centers, Inc. CurrentSince Feb 20, 2017 Accepting new patients
Hopewell Health Centers, Inc. CurrentSince Feb 20, 2017 Accepting new patients
Holzer Clinic, LLC CurrentSince May 13, 2024 Accepting new patients
Pure Healthcare LLC CurrentSince Oct 14, 2021 Accepting new patients
Ohio Emergency Professionals Inc CurrentSince Jan 16, 2015 Accepting new patients
Lifecare Hospice CurrentSince Jun 1, 2022 Accepting new patients
Hospice of Central Ohio CurrentSince Jul 1, 2022 Accepting new patients
Lifecare Hospice CurrentSince Jun 1, 2022 Accepting new patients

Locations

90 Hospital Dr
Athens, OH 45701
Phone (740) 592-3091

1049 Western Ave
Chillicothe, OH 45601
Phone (740) 773-1006

2200 Miami Valley Dr
Dayton, OH 45459
Phone (937) 668-7873

7575 Paragon Rd
Dayton, OH 45459
Phone (937) 256-4490

100 Jackson Pike
Gallipolis, OH 45631
Phone (740) 446-5050

550 Mirabeau St
Greenfield, OH 45123
Phone (937) 672-4128

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

500 Burlington Rd
Jackson, OH 45640
Phone (740) 288-4625

601 State Route 664 N
#966
Logan, OH 43138
Phone (740) 380-8000

2269 Cherry Valley Rd SE
Newark, OH 43055
Phone (740) 344-0311

2269 Cherry Valley Rd SE
#R
Newark, OH 43055
Phone (740) 344-0311

1900 Akron Rd
Wooster, OH 44691
Phone (330) 264-4899

1761 Beall Ave
Wooster, OH 44691
Phone (330) 263-8100

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1265775712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 WESTERN AVE",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456011104",
            "telephone_number": "740-773-4366",
            "fax_number": "740-775-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MIDWAY DR.",
            "city": "NEW HAVEN",
            "state": "WV",
            "postal_code": "25265",
            "telephone_number": "740-416-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "JENNIFER",
        "middle_name": "D",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2021-10-04",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.14567-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0087008",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFFER",
            "last_name": "DAVIS",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Haven, WV

Sources for this page

Verify at the official NPI Registry.