Individual provider Active NPI

Jamie Jones Drake, APRN-CNP

  • Acute Care Nurse Practitioner
  • Hamilton, OH
National Provider Identifier
1699525774
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0036095 Issued in OH
Practice address
630 Eaton Ave
Hamilton, OH 45013-2767
Phone
(513) 867-2000
NPI assigned
Mar 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0036095 OH Primary

Addresses

Primary practice location

630 Eaton Ave
Hamilton, OH 45013-2767

Mailing address

1 Prestige PL Ste 550
Miamisburg, OH 45342-6115
Phone (937) 762-1306

Other practice location 1

3533 Southern Blvd Ste 2250
Kettering, OH 45429-1270
Phone (937) 534-0330

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
I20240708001933 OH Practitioner - Nurse Practitioner 6709321391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

Practice addresses (Care Compare)

1380 NW Washington Blvd
Hamilton, OH 45013-1208
Phone (855) 500-2873

Hospital & facility affiliations

  • Fort Hamilton Hughes Memorial Hospital Hospital, Hamilton, OH, CCN 360132

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0036095OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kettering Independent Medical Group Inc CurrentSince Aug 8, 2024 Accepting new patients

Locations

7700 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (937) 531-0195

2449 Ross Millville Rd
Ste B50
Hamilton, OH 45013
Phone (513) 737-6068

1380 NW Washington Blvd
Hamilton, OH 45013
Phone (513) 863-2800

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

3533 Southern Blvd
Ste 2250
Kettering, OH 45429
Phone (937) 534-0330

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

Organizations & group practices 1

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 1

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": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1699525774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRESTIGE PL STE 550",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426115",
            "telephone_number": "937-762-1306",
            "fax_number": "937-522-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 EATON AVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450132767",
            "telephone_number": "513-867-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3533 Southern Blvd Ste 2250",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454291270",
            "country_code": "US",
            "telephone_number": "937-534-0330",
            "fax_number": "937-522-8995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "JAMIE",
        "middle_name": "JONES",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "0036095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.