Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mallory Shae Fochtman, CNP

Women's Health Nurse Practitioner in Bellbrook, OH · enumerated 2017.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104355510

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Mallory Shae Fochtman

Credential CNP

Sex Female

Practice address 2006 Cabernet Way, Bellbrook, OH, 45305

Phone (719) 258-0848

Enumeration date Jun 8, 2017

Last updated in NPPES Oct 1, 2023

Taxonomy & licenses

363LW0102X Women's Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License APRN.CNP.0035041 (OH) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Mallory Fochtman?

The National Provider Identifier (NPI) for Mallory Fochtman is 1104355510, a Type 1 (individual) record in the CMS NPPES registry.

Where does Mallory Fochtman practice?

The practice location on file with NPPES is in Bellbrook, OH. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-10-01.