Active NPI
Jennifer Rose Kaylor, PA-C
- Physician Assistant
- Miamisburg, OH
National Provider Identifier
1336927771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.008313RX
- Practice address
- 3333 W Tech Rd
Miamisburg, OH 45342-0955 - Phone
- (937) 885-4475
- Fax
- (937) 885-3670
- NPI assigned
- Sep 18, 2023
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.008313RX | OH | Primary |
Addresses
Primary practice location
3333 W Tech Rd
Miamisburg, OH 45342-0955
Mailing address
PO Box 933432
Cleveland, OH 44193-0039
Phone (937) 641-5072
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0029412 | Medicaid | OH |
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Cleeveland, OH 44193
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.008313RX | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springboro Pediatrics, Inc. | Past | Accepting new patients | |
| Dayton Children'S Specialty Physicians, Inc. | Past | Accepting new patients | |
| Springboro Pediatrics, Inc. | Past | Accepting new patients | |
| Dayton Children'S Specialty Physicians, Inc. | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Dayton, OH
- NPI 1225192610
Physician Assistant
-
- Pediatrics Physician
- Dayton, OH
- NPI 1780467555
-
- Pediatrics Physician
- Springboro, OH
- NPI 1184724320
-
- Specialist
- Springboro, OH
- NPI 1316043417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774483200000",
"number": "1336927771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 933432",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441930039",
"telephone_number": "937-641-5072",
"fax_number": "937-641-6129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 W TECH RD",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453420955",
"telephone_number": "937-885-4475",
"fax_number": "937-885-3670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAYLOR",
"first_name": "JENNIFER",
"middle_name": "ROSE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-18",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.008313RX",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0029412",
"state": "OH"
}
],
"endpoints": [],
"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 Mar 26, 2026; 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.