Kasie Mahan, AGNP-C
Nurse Practitioner in Greensboro, NC. Individual provider (NPI-1).
NPI number1982139911
StatusActive
Last updated in NPPESSep 20, 2021
Details
- NPI
- 1982139911
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kasie Mahan
- Credential
- AGNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 27, 2017
- Certification date
- Sep 20, 2021
- Last updated
- Sep 20, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 5009471 | NC | Yes |
Practice location
1200 N Elm StSuite Gc201
Greensboro, NC 27401-1004
Phone 336-832-2840 · Fax 336-832-3513
Mailing address
1200 N Elm StSuite Gc201
Greensboro, NC 27401-1004
Phone 336-832-2840 · Fax 336-832-3513
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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