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

Jared A Davis, APNP

Individual provider Nurse Practitioner · NPI 1538874102

Jared A Davis, APNP is a Nurse Practitioner in Miamisburg, Ohio. Qualified in 2022, 4 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
4
Licensed in
OH
In the registry since
2023
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Practice location Address checks out

9260 Marketplace Dr Ste 102
Miamisburg, OH 45342-4478
Phone: (888) 938-3838
Fax: (888) 919-1083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.0032930 (OH)

Record details

NPI number1538874102
Entity typeIndividual (Type 1)
GenderMale
Credentials APNP
Sole proprietorNo
NPI enumeratedJanuary 18, 2023
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025
Mailing address10001 W Innovation Dr Ste 200, Milwaukee, WI 53226-4851

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Miamisburg