Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elise Stamper, APRN-CNP

Individual provider Registered Nurse · NPI 1366102816

Elise Stamper, APRN-CNP is a Nurse Practitioner in Dayton, Ohio. Qualified in 2021, 5 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
5
Licensed in
OH
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1 Wyoming St
Dayton, OH 45409-2722
Phone: (937) 208-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 540 Lincoln Park Blvd Ste 200, Dayton, OH 45429-6403 — (937) 298-8058
  • 540 Lincoln Park Blvd Ste 200, Dayton, OH 45429-6403 — (937) 298-8058

Specialties & licences

Critical Care Medicine Nurse Practitioner (primary) Taxonomy 363LC0200X · Licence APRN.CNP.0030599 (OH)
Registered Nurse Taxonomy 163W00000X · Licence 402504 (OH)

Record details

NPI number1366102816
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorYes
NPI enumeratedDecember 25, 2021
Last updated in NPPESFebruary 25, 2025
Certification dateFebruary 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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