1. Home
  2. Directory
  3. Ohio
  4. Dayton
  5. Nurse Practitioner
  6. NPI Profile

JESSICA MARIE HILES FNP-BC
NPI 1619572872
Nurse Practitioner - Family in Dayton, OH

Active since December 03, 2020PECOS EnrolledAccepts Medicare Assignment
76.79/100
CMS Quality Rating
30 E APPLE ST # 5254, DAYTON, OH 45409(844) 277-2894 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2021, Dec 31, 2020, Dec 4, 2020 (3 updates tracked since 2020).

About Jessica Marie Hiles Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA MARIE HILES FNP-BC (NPI 1619572872) is an individual family provider in Dayton, Ohio, licensed in Ohio (APRN.CNP.0028138) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with Wilson Memorial Hospital, and maintains a secondary practice location in Dayton.

NPPES Registry Identity

NPI1619572872
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA MARIE HILESCredential: FNP-BC
Location Address30 E APPLE ST # 5254Dayton, OH 45409-2939
Mailing Address30 E Apple St # 5254Dayton, OH 45409-2939 · (442) 772-8948
Phone(844) 277-2894
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 3, 2020
Last NPPES UpdateMay 26, 20213 updates tracked since enumeration
NPPES CertifiedMay 26, 2021
✔ NPI 1619572872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.0028138
30 E APPLE ST # 5254, Dayton, OH 45409
Open in Google Maps ↗

Secondary Practice Location 1

Location 16125 N Main StDayton, OH 45415-3110 · Phone (937) 278-8211

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Marie Hiles Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113330499
PECOS Enrollment IDI20210105002138
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
124 services95 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
32 services32 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wilson Memorial Hospital

Acute Care Hospitals · Sidney, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360013
Location915 West Michigan StreetSidney, OH 45365 · Shelby County
Emergency services Birthing friendly

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360174
Location3130 North County Road 25ATroy, OH 45373 · Miami County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.65
Promoting Interoperability100
Improvement Activities40
Cost57.98

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FATIMA WALED HASSAN
Physician Assistant
30 E APPLE ST # 5254
DAYTON, OH 45409
Montgomery County (937) 208-4200
DR. STEPHEN P FUQUA DO
Psychiatry & Neurology (Neurology)
30 E APPLE ST # 5254
DAYTON, OH 45409
Montgomery County (844) 277-2894

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Hiles's NPI number?

The NPI number for Jessica Hiles is 1619572872. It was assigned to this individual provider in the NPPES registry on December 3, 2020.

Where is Jessica Hiles located?

Jessica Hiles practices at 30 E Apple St # 5254, Dayton, OH 45409. The listed phone number is (844) 277-2894.

What is Jessica Hiles's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jessica Hiles enrolled in Medicare?

Yes. Jessica Hiles is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jessica Hiles accept?

Health plans from CareSource and MedMutual list Jessica Hiles as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jessica Hiles affiliated with any hospitals?

According to CMS data, Jessica Hiles is affiliated with Wilson Memorial Hospital, Miami Valley Hospital and Upper Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Jessica Hiles was last updated on May 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.