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

Jordan Richard Dodge, CNP

Individual provider Family Nurse Practitioner · NPI 1275923203

Jordan Richard Dodge, CNP is a Nurse Practitioner in Circleville, Ohio. Qualified in 2015, 11 years ago. Practices with Ohio Valley Physicians Inc, a 129-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
11
Licensed in
OH
In the registry since
2015
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

600 N Pickaway St
Circleville, OH 43113-1447
Phone: (614) 566-8333
Fax: (614) 566-5189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.17030 (OH)

Record details

NPI number1275923203
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorNo
NPI enumeratedJanuary 29, 2015
Last updated in NPPESMarch 28, 2023
Certification dateMarch 28, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Ohio Valley Physicians Inc — 129 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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