Individual provider Active NPI

Jessica C Emmons, APRN

  • Family Nurse Practitioner
  • Miamisburg, OH
National Provider Identifier
1821758822
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0029963 Issued in OH
Practice address
2115 Leiter Rd Ste 100
Miamisburg, OH 45342-3698
Phone
(937) 866-0741
NPI assigned
Dec 19, 2021
Last updated
Oct 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0029963 OH Primary

Addresses

Primary practice location

2115 Leiter Rd Ste 100
Miamisburg, OH 45342-3698

Mailing address

1900 Composite Dr
Kettering, OH 45420-1475

Other practice location 1

1900 Composite Dr
Kettering, OH 45420-1475
Phone (937) 293-8419

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Direct Messaging Address jemmons594819@direct.ketteringhealth.org

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
I20220112000849 OH Practitioner - Nurse Practitioner 1759773310 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Physicians IncGroup PAC ID 0840104360, 314 clinicians

Practice addresses (Care Compare)

1900 Composite Dr
Kettering, OH 45420-1475
Phone (937) 293-8419

2115 Leiter Rd
Suite 100
Miamisburg, OH 45342-3698
Phone (937) 866-0741

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0029963OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians, Inc. CurrentSince Sep 22, 2025 Accepting new patients
Alliance Physicians Inc CurrentSince Sep 22, 2025 Accepting new patients
Premier Integrated Medical Assoc LTD CurrentSince Jan 3, 2022 Accepting new patients
Premier Integrated Medical Assoc LTD CurrentSince Jan 3, 2022 Accepting new patients
Premier Integrated Medical Assoc LTD Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

1425 N Fairfield Rd
Ste 110
Beavercreek, OH 45432
Phone (937) 426-0106

1152 W 3rd St
Ste 101
Dayton, OH 45402

1152 W 3rd St
Dayton, OH 45402
Phone (937) 268-3483

1900 Composite Dr
Kettering, OH 45420
Phone (937) 293-8419

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

2115 Leiter Rd
Ste 100
Miamisburg, OH 45342
Phone (937) 384-6922

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

1184 W Locust St
Wilmington, OH 45177
Phone (937) 382-1616

Organizations & group practices 6

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 5

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": "1639872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1821758822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 COMPOSITE DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 LEITER RD STE 100",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453423698",
            "telephone_number": "937-866-0741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Composite Dr",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454201475",
            "country_code": "US",
            "telephone_number": "937-293-8419",
            "fax_number": "937-293-1545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMMONS",
        "first_name": "JESSICA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-19",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0029963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "2115 Leiter Rd Ste 100",
            "city": "Miamisburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453423698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jemmons594819@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "2115 Leiter Rd Ste 100",
            "city": "Miamisburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453423698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miamisburg, OH

Sources for this page

Verify at the official NPI Registry.