Active NPI
Jessica C Emmons, APRN
- Family Nurse Practitioner
- Miamisburg, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.0029963
- Practice address
- 2115 Leiter Rd Ste 100
Miamisburg, OH 45342-3698 - Phone
- (937) 866-0741
- NPI assigned
- Dec 19, 2021
- Last updated
- Oct 1, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0029963 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Physicians, Inc. | Current | Accepting new patients | |
| Alliance Physicians Inc | Current | Accepting new patients | |
| Premier Integrated Medical Assoc LTD | Current | Accepting new patients | |
| Premier Integrated Medical Assoc LTD | Current | 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.
-
dba Kettering Health Medical Group
- Family Medicine Physician
- Kettering, OH
- NPI 1437125572
-
dba PriMed Physicians
- Family Medicine Physician
- Dayton, OH
- NPI 1811953052
-
dba Village Green Primary Care
- Family Medicine Physician
- Fairfield, OH
- NPI 1922355999
-
dba PriMed Physicians
- Family Medicine Physician
- Kettering, OH
- NPI 1285690339
-
dba PriMed Physicians
- Internal Medicine Physician
- Kettering, OH
- NPI 1417915224
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Kettering, OH
- NPI 1639195332
-
dba Kettering Health Dayton
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
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
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.