MALLORY SHAE FOCHTMAN CNP
NPI 1104355510
Nurse Practitioner - Women's Health in Bellbrook, OH

Q: What is Mallory Fochtman's NPI number?

The NPI number for Mallory Fochtman is 1104355510. It was assigned to this individual provider in the NPPES registry on June 8, 2017. The provider is also known as Mallory Stone Cnp.

Q: What is Mallory Fochtman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Mallory Fochtman was last updated on October 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 08, 2017

2006 CABERNET WAY, BELLBROOK, OH 45305(719) 258-0848 Get Directions Write a Review

NPPES record last updated: October 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mallory Shae Fochtman Cnp NPPES

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

MALLORY SHAE FOCHTMAN CNP (NPI 1104355510) is an individual women's health provider in Bellbrook, Ohio, licensed in Ohio (APRN.CNP.0035041) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1104355510

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameMALLORY SHAE FOCHTMANCredential: CNP

Location Address2006 CABERNET WAYBellbrook, OH 45305-7502

Mailing Address2006 Cabernet WayBellbrook, OH 45305-7502 · (719) 258-0848

Phone(719) 258-0848

Sole ProprietorNo

Enumeration DateJune 8, 2017

Last NPPES UpdateOctober 1, 2023

NPPES CertifiedOctober 1, 2023

✔ NPI 1104355510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in OH · APRN.CNP.0035041

2006 CABERNET WAY, Bellbrook, OH 45305

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Other Names 1

Former Name (1)Mallory Stone Cnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

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 Mallory Fochtman's NPI number?

The NPI number for Mallory Fochtman is 1104355510. It was assigned to this individual provider in the NPPES registry on June 8, 2017. The provider is also known as Mallory Stone Cnp.

Where is Mallory Fochtman located?

Mallory Fochtman practices at 2006 Cabernet Way, Bellbrook, OH 45305. The listed phone number is (719) 258-0848.

What is Mallory Fochtman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

What insurance does Mallory Fochtman accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and UnitedHealthcare list Mallory Fochtman 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.

When was this NPI record last updated?

The NPPES record for Mallory Fochtman was last updated on October 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.