Individual provider Active NPI

Jacqueline Maria Sellner, CNP

  • Family Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1003213430
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F1114234 Issued in MN
Practice address
13609 California Street, Suite 200
C/O Aureus Medical Group
Omaha, NE 68154
Phone
(800) 856-6385
NPI assigned
Dec 1, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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 F1114234 MN Primary

Addresses

Primary practice location

13609 California Street, Suite 200
C/O Aureus Medical Group
Omaha, NE 68154

Mailing address

13609 California Street, Suite 200
C/O Aureus Medical Group
Omaha, NE 68154
Phone (800) 856-6385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F1114234MNMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1003213430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13609 CALIFORNIA STREET, SUITE 200",
            "address_2": "C/O AUREUS MEDICAL GROUP",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68154",
            "telephone_number": "800-856-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13609 CALIFORNIA STREET, SUITE 200",
            "address_2": "C/O AUREUS MEDICAL GROUP",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68154",
            "telephone_number": "800-856-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLNER",
        "first_name": "JACQUELINE",
        "middle_name": "MARIA",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-01",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "F1114234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.