Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jane King , CNP

Nurse Practitioner - Acute Care β€’ Kettering, OH

Active NPI 1629867296 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

3533 Southern Blvd Ste 2100
Kettering, OH 454291267

Call 9373958556 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3533 Southern Blvd Ste 2100

Kettering, OH 454291267

Telephone 9373958556
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Kettering, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Kettering Independent Medical Group Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2024

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jane King has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jane King as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Kettering and Ohio

29 active clinicians are listed under Nurse Practitioner - Acute Care with a practice address in Kettering, OH (1,680 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Kettering

6.9% of these 29 clinicians have the CMS telehealth indicator.

79.3% of these 29 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-10-02
Nurse Practitioner - Acute Care Primary Specialty

NUCC Taxonomy Code: 363LA2100X

License # reported to NPPES OH 0039065
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20250701000137

Enrollment State Jurisdiction

OH

PECOS Control ID

1759894074

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Kettering Independent Medical Group Inc

3533 Southern Blvd, Kettering, OH 454291267

Phone: 93739585561267

Secondary Practice Locations

3535 Southern Blvd

Kettering, OH 454291221

Phone: 9372984331

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

15 listed
Rebekah Adams , PA-C

Physician Assistant

NPI 1578284113

Physician Assistant (Certified)

Jacqueline Adrian

Nurse Practitioner - Adult Health

NPI 1285293142
NPI 1043415755

Doctor of Medicine (M.D.)

NPI 1962638080

Doctor of Medicine (M.D.)

Kelly Marquez , APRN-CNP

Nurse Practitioner

NPI 1275115461

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Dr. Melissa Moncrief , MD

Surgery - Surgical Critical Care

NPI 1821211251

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location October 02, 2025

Registered at 3533 SOUTHERN BLVD STE 2100, KETTERING, OH 454291267 (Tel: 9373958556)

βœ…
NPI Profile Active May 09, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 09, 2025

Registered at 3535 SOUTHERN BLVD, KETTERING, OH 454291221 (Tel: 9372984331)

πŸ“
Business Mailing Address (Initial Record) May 09, 2025

Registered at 235 WOODSTREAM DR, SPRINGBORO, OH 450668216 (Tel: 3045524313)

πŸ‘€
Provider Name / Credentials (Initial Record) May 09, 2025

Recorded as JANE KING, CNP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2025

Nurse Practitioner (license number reported to NPPES: OH 0039065)

🟒
Initial NPI Registration & Enumeration May 01, 2025

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1629867296
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2025
Last Update: October 02, 2025
Sole Proprietor: No

Other Nurse Practitioner - Acute Care Specialists in Kettering

All Nurse Practitioner - Acute Care Specialists in Kettering

Mailing Address

235 Woodstream Dr

Springboro, OH 450668216

Phone: 3045524313

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.