JESSICA ST. JOHN (CNP) – Family Nurse Practitioner, NPI 1245632272

JESSICA ST. JOHN (CNP) is a healthcare provider. based in Dayton, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. APRN.CNP.16638 (OH). The NPI Number for JESSICA ST. JOHN (CNP) is 1245632272

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA ST. JOHN (CNP)
NPI
1245632272
Phone
(937) 912-0509
Address
3165 DAYTON XENIA RD
Enumeration Date
22 September 2014
Last Update Date
11 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3165293084
Graduation Year
2014 (12 years ago)
PAC ID
4688997364
Group Practice PAC ID
7416268461
Professional Enrollment ID
I20210112000213
Address ID
KS672161739WI4747XAVEX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for JESSICA ST. JOHN (CNP)

  • 3165 DAYTON XENIA RD

    DAYTON, OH 454346309

    Phone: (937) 912-0509

    Type: Location

  • 2200 JEFFERSON AVE FL 5

    TOLEDO, OH 436047102

    Phone:

    Type: Mailing

  • 28555 STARBRIGHT BLVD STE B

    PERRYSBURG, OH 435515662

    Phone: (419) 931-3030

    Fax: (419) 930-3046

    Type: Location

  • 212 Kroger Way

    Versailles, KY 403831991

    Phone: (859) 297-1072

    Type: Location

  • 1175 S College Mall Rd

    Bloomington, IN 474016177

    Phone: (812) 323-4321

    Type: Location

  • 3200 Plaza East Dr

    Hutchinson, KS 675021607

    Phone: (620) 860-1679

    Type: Location

  • 3100 S Sheridan Blvd

    Denver, CO 802275541

    Phone: (303) 742-3173

    Type: Location

  • PO BOX 932958

    CLEVELAND, OH 441930028

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150105001051INurse PractitionerOHTBD
I20210112000213INurse PractitionerKSTBD
I20210721002914INurse PractitionerINTBD
I20210810002258INurse PractitionerKYTBD
I20230906004250INurse PractitionerCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes3333$0
99213Established patient office or other outpatient visit, 20-29 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 45434)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416268461View full group profile
NameSpecialtyState
Nurse PractitionerKS
Nurse PractitionerKS
Nurse PractitionerOH
Nurse PractitionerIL
Nurse PractitionerKS
Nurse PractitionerKS
Nurse PractitionerKS
-TN
-TN
-KS

Reviews

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Frequently asked questions

Is there an official ID for JESSICA ST. JOHN (CNP) in U.S. healthcare records?
The official identifier for JESSICA ST. JOHN (CNP) is NPI 1245632272.
Would JESSICA ST. JOHN (CNP) appear as active to a payer?
You can treat JESSICA ST. JOHN (CNP) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with JESSICA ST. JOHN (CNP)?
JESSICA ST. JOHN (CNP)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JESSICA ST. JOHN (CNP) located near Dayton?
JESSICA ST. JOHN (CNP) currently maps to Dayton, Ohio in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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