Active NPI
Jared A Davis, APNP
- Nurse Practitioner
- Miamisburg, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN.CNP.0032930
- Practice address
- 9260 Marketplace Dr Ste 102
Miamisburg, OH 45342-4478 - Phone
- (888) 938-3838
- Fax
- (888) 919-1083
- NPI assigned
- Jan 18, 2023
- Last updated
- Aug 27, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN.CNP.0032930 | OH | Primary |
Addresses
Primary practice location
9260 Marketplace Dr Ste 102
Miamisburg, OH 45342-4478
Mailing address
10001 W Innovation Dr Ste 200
Milwaukee, WI 53226-4851
Phone (888) 938-3838
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
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9260 Marketplace Dr
Suite 102
Miamisburg, OH 45342-4478
Phone (888) 938-3838
Hospital & facility affiliations
- Kettering Health Greene Memorial
- Kettering Health Miamisburg
- Kettering Health Dayton
- Kettering Health Main Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.34 of 100
- Quality
- 63.67
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0032930 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Physicians Inc | Current | Accepting new patients | |
| Kettering Independent Medical Group Inc | Current | Accepting new patients | |
| Dayton Center for Neurological Disorders Inc | Current | Accepting new patients | |
| Advanced Ear Nose & Throat Specialists, SC | Current | Accepting new patients | |
| Advanced Ear Nose & Throat Specialists, PLLC | Past | Accepting new patients |
Locations
2510 Commons Blvd
Ste 276
Beavercreek, OH 45431
6531 Market Ave N
#100
Canton, OH 44721
4030 Easton Sta
Ste 200
Columbus, OH 43219
Phone (614) 566-0929
3095 Dayton Xenia Rd
Ste 900
Dayton, OH 45434
Phone (937) 458-4010
5775 Perimeter Dr
Ste 150
Dublin, OH 43017
8701 Old Troy Pike
Ste 210
Huber Heights, OH 45424
Phone (937) 610-0105
4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910
9260 Marketplace Dr
Ste 102
Miamisburg, OH 45342
17986 Royalton Rd
Strongsville, OH 44136
1975 Miamisburg Centerville Rd
Washington Township, OH 45459
28601 Chagrin Blvd
Ste 250
Woodmere, OH 44122
10001 W Innovation Dr
Ste 200
Wauwatosa, WI 53226
Interoperability endpoints
- https://api.platform.athenahealth.com/1367/brand/1/csg/1/fhir/r4
- jdavis875871@direct.ketteringhealth.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Advent
- Otolaryngology Physician
- Miamisburg, OH
- NPI 1811717887
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
-
dba Kettering Health Medical Group
- Family Medicine Physician
- Kettering, OH
- NPI 1437125572
-
- Neurology Physician
- Centerville, OH
- NPI 1699728972
-
dba Advent
- Otolaryngology Physician
- Vernon Hills, IL
- NPI 1184281735
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kettering Health Dayton
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
dba Kettering Health Greene Memorial
- General Acute Care Hospital
- Xenia, OH
- NPI 1255317848
-
dba Kettering Health Main Campus
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
-
dba Kettering Health Miamisburg
- General Acute Care Hospital
- Miamisburg, OH
- NPI 1316966518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1538874102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10001 W INNOVATION DR STE 200",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264851",
"telephone_number": "888-938-3838",
"fax_number": "888-919-1083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9260 MARKETPLACE DR STE 102",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453424478",
"telephone_number": "888-938-3838",
"fax_number": "888-919-1083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JARED",
"middle_name": "A",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-18",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "APRN.CNP.0032930",
"primary": true
}
],
"identifiers": [],
"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 Aug 27, 2025; 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.