Selah Wellness Clinic LLC
A Medicare group practice based in Mora, MN: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 5597146852), with 11 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 5597146852
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- MN
- Enrollments
- 1
- Group size
- 8 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20220718001776 | MN | Part B Supplier - Clinic/Group Practice | 1215676747 |
NPIs in this group 4
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Selah Wellness Clinic LLC
- Primary Care Clinic/Center
- Sandstone, MN
- NPI 1215676747
-
Selah Wellness Clinic LLC
- Nurse Practitioner
- Pine City, MN
- NPI 1104513126
-
Selah Wellness Clinic LLC
- Nurse Practitioner
- Rush City, MN
- NPI 1508576372
-
Selah Wellness Clinic LLC
- Psychiatry Physician
- Mora, MN
- NPI 1649139171
Practice locations
- Pine City, MN1
- Sandstone, MN1
- Rush City, MN1
- Mora, MN1
Clinicians 11
Clinicians who reassign their Medicare benefits to this group (11) or whom Care Compare lists as members (8).
-
Laura Jean Ausmus, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Minneapolis, MN
- NPI 1790485225
-
Danielle Marie Carlin, CNP
- Family Nurse Practitioner
- Sandstone, MN
- NPI 1962946509
-
Karron Leigh Cohoon, APRN, CNP
- Psychiatric/Mental Health Nurse Practitioner
- Sandstone, MN
- NPI 1902379613
-
Amanda Collins, DNP
- Psychiatric/Mental Health Nurse Practitioner
- Wayzata, MN
- NPI 1730626524
-
Andrea Jean Hanson, FNP
- Family Nurse Practitioner
- Sandstone, MN
- NPI 1245062546
-
Karissa Ignaszewski, PMHNP-C
- Psychiatric/Mental Health Nurse Practitioner
- Mora, MN
- NPI 1518222355
-
Naomi Koenig, APRN,FNP-C, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Sandstone, MN
- NPI 1659893170
-
Shelly Anne Kuhlmann, NP
- Primary Care Nurse Practitioner
- Sandstone, MN
- NPI 1215797113
-
Joshua Larsen, LICSW
- Clinical Social Worker
- Mora, MN
- NPI 1366214488
-
Vikas Simon Mittal, MD
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1629038377
-
Joleen A Peters, APRN, CNP, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Sandstone, MN
- NPI 1023845377
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.