Individual provider Active NPI

Jared A Davis, APNP

  • Nurse Practitioner
  • Miamisburg, OH
National Provider Identifier
1538874102
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0032930 Issued in OH
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230727002227 OH Practitioner - Nurse Practitioner 4284095985 Reassigns benefits to 2 organizations

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

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
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

LicenseStateTypeSpecialty
APRN.CNP.0032930OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians Inc Current Accepting new patients
Kettering Independent Medical Group Inc CurrentSince Jun 13, 2023 Accepting new patients
Dayton Center for Neurological Disorders Inc CurrentSince Jul 2, 2023 Accepting new patients
Advanced Ear Nose & Throat Specialists, SC CurrentSince Aug 5, 2025 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

  • FHIR API: https://api.platform.athenahealth.com/1367/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.