Individual provider Active NPI

Jessica Lynn Davis, CRNP

  • Nurse Practitioner
  • Hershey, PA
National Provider Identifier
1588159594
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP030487 Issued in PA
Practice address
500 University Dr
Hershey, PA 17033-2360
Phone
(800) 243-1455
NPI assigned
Jun 22, 2018
Last updated
Aug 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP030487 PA Primary
Neonatal Nurse Practitioner 363LN0000X R197315 MD

Addresses

Primary practice location

500 University Dr
Hershey, PA 17033-2360

Mailing address

500 University Dr
Hershey, PA 17033-2360
Phone (800) 243-1455

Other practice location 1

345 St. Paul Place
8th Floor
Baltimore, MD 21202-2102
Phone (410) 332-9596

Other names 1

  • Jessica Lynn Dudley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180713000055 MD Practitioner - Nurse Practitioner 3173879616 Reassigns benefits to 2 organizations
I20250910003246 PA Practitioner - Nurse Practitioner 3173879616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 University Dr
Hershey, PA 17033-2390

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Sep 26, 2022 Accepting new patients
Meritus Medical Center Inc CurrentSince Nov 5, 2024 Accepting new patients
Meritus Medical Center Inc Nurse Practitioner Current Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Sep 1, 2025 Accepting new patients
Maryland Family Care, Inc. Nurse Practitioner CurrentSince May 21, 2018 Accepting new patients
Meritus Medical Center Inc CurrentSince Nov 5, 2024 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Sep 26, 2022 Accepting new patients
The Milton S Hershey Medical Center Physcian Group CurrentSince Sep 1, 2025 Accepting new patients
University of Maryland Pediatric Associates, PA Past Accepting new patients

Locations

345 Saint Paul St
Fl 8
Baltimore, MD 21202
Phone (410) 332-7708

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

500 University Dr
#41
Hershey, PA 17033
Phone (717) 531-8202

500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

Interoperability endpoints

  • Direct secure messaging: jdavis1175127@meritus.direct-ci.net
  • Direct secure messaging: jdavis40101@direct.mdmercy.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1588159594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332360",
            "telephone_number": "800-243-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332360",
            "telephone_number": "800-243-1455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 St. Paul Place",
            "address_2": "8th Floor",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212022102",
            "country_code": "US",
            "telephone_number": "410-332-9596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP030487",
            "primary": true
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "MD",
            "license": "R197315",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "DUDLEY",
            "middle_name": "LYNN",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hershey, PA

Sources for this page

Verify at the official NPI Registry.