Active NPI
Jessica Davis
- Family Nurse Practitioner
- Middletown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.0033473
- Practice address
- 200 Medical Center Dr Ste 375
Middletown, OH 45005-5180 - Phone
- (513) 420-3773
- NPI assigned
- May 10, 2023
- Last updated
- May 10, 2023
- 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.0033473 | OH | Primary |
Addresses
Primary practice location
200 Medical Center Dr Ste 375
Middletown, OH 45005-5180
Mailing address
3772 Grant Ave Unit G
Beavercreek, OH 45431-2098
Phone (251) 725-3015
Other practice location 1
2400 Miami Valley Dr Ste 160
Centerville, OH 45459-4774
Phone (937) 312-1661
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
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Medical Ctr Dr
Suite 375
Middletown, OH 45005-5180
Phone (937) 208-2020
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.38 of 100
- Quality
- 66.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.69
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0033473 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Health Specialists Inc | Current | Accepting new patients | |
| Premier Health Specialists Inc | Current | Accepting new patients | |
| Premier Health Specialists Inc | Current | Accepting new patients | |
| Premier Heart Associates, Inc | Past | Accepting new patients |
Locations
2400 Miami Valley Dr
Ste 160
Centerville, OH 45459
Phone (937) 312-1661
30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300
200 Medical Center Dr
Ste 375
Middletown, OH 45005
Phone (513) 420-3773
3170 Kettering Blvd
Bldg 2
Moraine, OH 45439
450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Moraine, OH
- NPI 1194958223
-
dba Premier OBGyn
- Obstetrics & Gynecology Physician
- Springboro, OH
- NPI 1558667261
-
dba Advanced Ankle and Foot Specialists
- Foot & Ankle Surgery Podiatrist
- Dayton, OH
- NPI 1902211287
-
- Cardiovascular Disease Physician
- Beavercreek, OH
- NPI 1538188735
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Franklin, OH
- NPI 1700950060
-
- 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": "1683676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683676800000",
"number": "1952091100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3772 GRANT AVE UNIT G",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454312098",
"telephone_number": "251-725-3015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MEDICAL CENTER DR STE 375",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450055180",
"telephone_number": "513-420-3773"
}
],
"practiceLocations": [
{
"address_1": "2400 Miami Valley Dr Ste 160",
"address_purpose": "LOCATION",
"city": "Centerville",
"state": "OH",
"postal_code": "454594774",
"country_code": "US",
"telephone_number": "937-312-1661",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-10",
"last_updated": "2023-05-10",
"certification_date": "2023-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0033473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.