Individual Healthcare Provider
Marjorie Ann Mahle, RN, CNP
Provider's NPPES record last updated: March 17, 2018
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1205980653
- Primary Specialty
- Nurse Practitioner — Acute Care
- Practice Location
- Kettering, Ohio
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 10:02 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Acute Care
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LA2100X
Provider-Reported License Information
- Nurse Practitioner (Ohio)
- COA09531NP
Practice Locations
Practice Location
3535 Southern Blvd
Kettering, Ohio 45429-1221
Phone: (937) 298-4331
Additional Practice Location
100 Kettering Way
Franklin, Ohio 45005-1155
Phone: (937) 458-4700
Additional Practice Location
1141 N Monroe Dr
Xenia, Ohio 45385-1619
Phone: (937) 352-2500
Additional Practice Location
4000 Miamisburg Centerville Rd
Miamisburg, Ohio 45342-7615
Phone: (937) 384-8791
Additional Practice Location
3535 Pentagon Blvd
Beavercreek, Ohio 45431-1705
Phone: (937) 702-4500
Additional Practice Location
8701 Old Troy Pike
Huber Heights, Ohio 45424-1066
Phone: (937) 558-3338
Record Information
- Enumeration Date
- January 23, 2007
- Provider's NPPES Record Last Updated
- March 17, 2018
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue