Individual provider Active NPI

Selena M Blankenship, FNP

  • Family Nurse Practitioner
  • Charlottesville, VA
National Provider Identifier
1003120486
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024168992 Issued in VA
Practice address
1240 Lee St
Charlottesville, VA 22908-0817
Phone
(434) 924-9333
Fax
(434) 244-7526
NPI assigned
Jul 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0024168992 VA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 0024168992 VA
Family Nurse Practitioner 363LF0000X 0024168992 VA Primary

Addresses

Primary practice location

1240 Lee St
Charlottesville, VA 22908-0817

Mailing address

PO Box 749112
Atlanta, GA 30374-9112

Other practice location 1

2103 Graves Mill Rd
Forest, VA 24551-2675
Phone (434) 316-7199

Other practice location 2

545 Ray C Hunt Dr Ste 110
Charlottesville, VA 22903-2981
Phone (434) 924-5035

Other practice location 3

1215 Lee St
Charlottesville, VA 22908-0817
Phone (434) 924-0211

Other practice location 4

320 Federal St
Lynchburg, VA 24504-2306
Phone (434) 947-5967

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20101227000366 VA Practitioner - Nurse Practitioner 6002004611 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Virginia School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1240 Lee St
Charlottesville, VA 22908-0817
Phone (434) 924-5191

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.45 of 100Reported as group
Quality
79.76
Promoting interoperability
100
Improvement activities
40
Cost
75.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024168992VAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia, Inc. CurrentSince Jun 12, 2021 Accepting new patients
Orthovirginia, Inc CurrentSince Jun 12, 2021 Accepting new patients
Orthovirginia Inc Family Current Accepting new patients
University of Virginia Physicians Group CurrentSince Jun 26, 2023 Accepting new patients

Locations

1240 Lee St
Charlottesville, VA 22908

1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595

1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242

Interoperability endpoints

  • Direct secure messaging: sblankenship572932@direct.healthsystem.virginia.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1003120486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749112",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 LEE ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229080817",
            "telephone_number": "434-924-9333",
            "fax_number": "434-244-7526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2103 Graves Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Forest",
            "state": "VA",
            "postal_code": "245512675",
            "country_code": "US",
            "telephone_number": "434-316-7199",
            "fax_number": "434-306-6185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "545 Ray C Hunt Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229032981",
            "country_code": "US",
            "telephone_number": "434-924-5035",
            "fax_number": "434-243-6890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 Lee St",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229080817",
            "country_code": "US",
            "telephone_number": "434-924-0211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Federal St",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245042306",
            "country_code": "US",
            "telephone_number": "434-947-5967",
            "fax_number": "434-947-5971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "SELENA",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-28",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0024168992",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "VA",
            "license": "0024168992",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024168992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.