Individual provider Active NPI

Mariah Lee Jansing

  • Family Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1669970802
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.022215 Issued in OH
Practice address
3602 N Main St
Dayton, OH 45405-2403
Phone
(937) 963-1990
NPI assigned
Jan 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.022215 OH Primary

Addresses

Primary practice location

3602 N Main St
Dayton, OH 45405-2403

Mailing address

1060 Pepper Hill Dr
Kettering, OH 45429-5538
Phone (937) 271-8064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180308001632 OH Practitioner - Nurse Practitioner 0749541738 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mvhe Inc CurrentSince Oct 5, 2025 Accepting new patients
Mvhe Inc CurrentSince Oct 5, 2025 Accepting new patients
Mvhe Inc Past Accepting new patients

Locations

722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000

725 University Blvd
Beavercreek, OH 45324
Phone (937) 684-8481

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1669970802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 PEPPER HILL DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295538",
            "telephone_number": "937-271-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454052403",
            "telephone_number": "937-963-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSING",
        "first_name": "MARIAH",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.