Individual provider Active NPI

Johnna Beth Stamper, CNP

  • Family Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1407236680
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.17401 Issued in OH
Practice address
3120 Governors Place Blvd
Dayton, OH 45409-1328
Phone
(937) 293-1622
Fax
(937) 245-6308
NPI assigned
Jun 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 17401-NP OH
Family Nurse Practitioner 363LF0000X APRN.CNP.17401 OH Primary

Addresses

Primary practice location

3120 Governors Place Blvd
Dayton, OH 45409-1328

Mailing address

6680 Poe Ave 200
Dayton, OH 45414-2855
Phone (937) 280-8400

Other practice location 1

9000 N Main St Ste G37
Englewood, OH 45415-1180
Phone (937) 293-1622

Other practice location 2

501 Atrium Dr Fl 1
Middletown, OH 45005-5165
Phone (937) 293-1622

Other practice location 3

2300 Miami Valley Dr Ste 150
Centerville, OH 45459-1294
Phone (937) 293-1622

Other identifiers 1

IdentifierTypeStateIssuer
0148154MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jstamper872121@direct.premierhealth.com

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
I20151026000901 OH Practitioner - Nurse Practitioner 9739498189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dayton Physicians LLCGroup PAC ID 1456374859, 40 clinicians

Practice addresses (Care Compare)

3120 Governors Place Blvd
Kettering, OH 45409-1328
Phone (937) 293-1622

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.24 of 100Reported as group
Quality
84.11
Promoting interoperability
100
Improvement activities
40
Cost
85.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17401-NPOHMDFamily Nurse Practitioner
APRN.CNP.17401OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Physicians, LLC CurrentSince Oct 12, 2015 Accepting new patients
Dayton Physicians, LLC CurrentSince Oct 12, 2015 Accepting new patients

Locations

2300 Miami Valley Dr
Ste 150
Centerville, OH 45459
Phone (937) 280-8366

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

6680 Poe Ave
Ste 200
Dayton, OH 45414

9000 N Main St
Ste G-36
Englewood, OH 45415
Phone (937) 832-1093

9000 N Main St
Ste G37
Englewood, OH 45415

1111 Sweitzer St
Ste C
Greenville, OH 45331
Phone (937) 276-8320

3120 Governors Place Blvd
Kettering, OH 45409
Phone (937) 208-6066

501 Atrium Dr
Fl 1
Middletown, OH 45005

501 Atrium Dr
Ste 100
Middletown, OH 45005

Organizations & group practices 2

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 2

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": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1407236680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6680 POE AVE 200",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454142855",
            "telephone_number": "937-280-8400",
            "fax_number": "937-280-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 GOVERNORS PLACE BLVD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454091328",
            "telephone_number": "937-293-1622",
            "fax_number": "937-245-6308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 N Main St Ste G37",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "454151180",
            "country_code": "US",
            "telephone_number": "937-293-1622",
            "fax_number": "937-245-6308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Atrium Dr Fl 1",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450055165",
            "country_code": "US",
            "telephone_number": "937-293-1622",
            "fax_number": "937-245-6308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Miami Valley Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454591294",
            "country_code": "US",
            "telephone_number": "937-293-1622",
            "fax_number": "937-245-6308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAMPER",
        "first_name": "JOHNNA",
        "middle_name": "BETH",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "17401-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.17401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0148154",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jstamper872121@direct.premierhealth.com",
            "affiliation": "N",
            "address_1": "3120 Governors Place Blvd",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454091328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.