Active NPI
Jennifer D Fields, CNP
- Family Nurse Practitioner
- New Haven, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA.14567-NP
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0087008 | Medicaid | OH |
Other names 1
- Jenniffer D Davis
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 |
|---|---|---|---|---|
| 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 LLC
Practice addresses (Care Compare)
100 Jackson Pike
Gallipolis, OH 45631-1560
Phone (740) 446-5050
Hospital & facility affiliations
- Holzer Medical Center
- Holzer Medical Center Jackson
- Cabell Huntington Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 62.04 of 100
- Quality
- 29.8
- Improvement activities
- 40
- Cost
- 76.6
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.27 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| COA.14567-NP | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospice of Central Ohio | Current | Accepting new patients | |
| Hopewell Health Centers Inc | Current | Accepting new patients | |
| Hopewell Health Centers, Inc. | Current | Accepting new patients | |
| Hopewell Health Centers, Inc. | Current | Accepting new patients | |
| Holzer Clinic, LLC | Current | Accepting new patients | |
| Pure Healthcare LLC | Current | Accepting new patients | |
| Ohio Emergency Professionals Inc | Current | Accepting new patients | |
| Lifecare Hospice | Current | Accepting new patients | |
| Hospice of Central Ohio | Current | Accepting new patients | |
| Lifecare Hospice | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Athens, OH
- NPI 1699010348
OH
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Newark, OH
- NPI 1265532246
OH
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Wooster, OH
- NPI 1922034701
OH
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Dayton, OH
- NPI 1619115045
OH
-
- Community/Retail Pharmacy
- The Plains, OH
- NPI 1215777230
-
- Primary Care Clinic/Center
- Reynoldsburg, OH
- NPI 1568118818
-
- Community Based Hospice Care Agency
- Newark, OH
- NPI 1881693125
-
- Community Based Hospice Care Agency
- Wooster, OH
- NPI 1477540284
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.