Individual provider Active NPI

Stacy Michele Selbert, WHNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1043492937
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
149554 Issued in MO
Practice address
4921 Parkview PL
Div Surg Oncology, Ste 5F
Saint Louis, MO 63110-1032
Phone
(314) 362-2280
Fax
(888) 352-8360
NPI assigned
Dec 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 149554 MO Primary

Addresses

Primary practice location

4921 Parkview PL
Div Surg Oncology, Ste 5F
Saint Louis, MO 63110-1032

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 362-2280

Other identifiers 1

IdentifierTypeStateIssuer
425616802MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20110107000771 MO Practitioner - Nurse Practitioner 3375732209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington UniversityGroup PAC ID 9830008770, 2,968 clinicians

Practice addresses (Care Compare)

4921 Parkview PL
Saint Louis, MO 63110-1032
Phone (314) 362-4211

Hospital & facility affiliations

  • Barnes Jewish Hospital Hospital, Saint Louis, MO, CCN 260032

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
71.6
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
149554MOMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince May 14, 2011 Accepting new patients
Washington University Obstetrics & Gynecology CurrentSince May 14, 2011 Accepting new patients
Washington University Past Accepting new patients

Locations

1255 Graham Rd
Florissant, MO 63031
Phone 31436272001

660 S Euclid Ave
#8064
Saint Louis, MO 63110
Phone (314) 747-8274

1110 Highlands Plaza Dr E
Ste 220
Saint Louis, MO 63110
Phone (314) 273-0195

4921 Parkview Pl
Ste 12B
Saint Louis, MO 63110
Phone (314) 747-9889

4921 Parkview Pl
Ste C
Saint Louis, MO 63110
Phone (314) 362-4211

4921 Parkview Pl
Ste 5F
Saint Louis, MO 63110
Phone (314) 362-8020

660 S Euclid Ave
Saint Louis, MO 63110

4901 Forest Park Ave
Ste 710
Saint Louis, MO 63108
Phone (314) 362-4211

660 S Euclid Ave
#C
Saint Louis, MO 63110

660 S Euclid Ave
#8109
Saint Louis, MO 63110
Phone (314) 362-7841

3023 N Ballas Rd
Ste 440D
Saint Louis, MO 63131
Phone (314) 432-8181

10 Barnes West Dr
Ste 100
Saint Louis, MO 63141
Phone (314) 205-2223

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.

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": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1043492937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-362-2280",
            "fax_number": "888-352-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 PARKVIEW PL",
            "address_2": "DIV SURG ONCOLOGY, STE 5F",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101032",
            "telephone_number": "314-362-2280",
            "fax_number": "888-352-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELBERT",
        "first_name": "STACY",
        "middle_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-03",
        "last_updated": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MO",
            "license": "149554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "425616802",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "4921 Parkview Pl",
            "address_2": "Div Surg Oncology, Ste 5F",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.