Marc A. Selin, RN

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN280699 Issued in MA

Practice address

225 E Robinson St
Suite #130
Orlando, FL 32801-4322

Phone

(407) 581-9180

Fax

(865) 560-7066

NPI assigned

Nov 4, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Jean Marc A. Selin Other name

Medicare fee-for-service enrollment

Enrolled in FL, MA2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Massachusetts Eye and Ear Associates, IncGroup PAC ID 4486540275, 430 clinicians

Lifespan Physician Group of Massachusetts IncGroup PAC ID 3870020399, 458 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Brown University Health Morton Hospital Hospital, Taunton, MA, CCN 220073
• Massachusetts Eye and Ear Infirmary - Hospital, Boston, MA, CCN 220075
• Saint Anne'S Hospital Hospital, Fall River, MA, CCN 220020
• Massachusetts General Hospital Hospital, Boston, MA, CCN 220071

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Registered Nurse

State licenses

Practice roles (10 of 11)

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: mselin264556@direct.bmc.masshiway.net
• Direct secure messaging: mselin236015@brownhealth.medalliesdirect.net

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.

• Massachusetts Eye and Ear Associates, Inc.

  • Ophthalmology Physician
  • Boston, MA
  • NPI 1932574332

  MA

  Medicare reassignment Care Compare group NPD
• Lifespan Physician Group of Massachusetts Inc

  • Family Medicine Physician
  • Taunton, MA
  • NPI 1235957713

  MA

  Medicare reassignment Care Compare group
• Fpra Anesthesia Services LLC

  • Certified Registered Nurse Anesthetist
  • Winter Park, FL
  • NPI 1952756728

  FL, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Gulf-to-Bay Anesthesiology Associates LLC

  • Anesthesiology Physician
  • Tampa, FL
  • NPI 1720039746

  FL

  Medicare reassignment NPD
• Lahey Clinic, Inc

  • Internal Medicine Physician
  • Peabody, MA
  • NPI 1063447316

  MA

  Medicare reassignment NPD
• North American Partners in Anesthesia Massachusetts LLC

  • Anesthesiology Physician
  • Fall River, MA
  • NPI 1457867020

  MA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Steward Medical Group, Inc

  • Anesthesiology Physician
  • Fall River, MA
  • NPI 1043711914

  MA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Gulf-to-Bay Anesthesiology Associates LLC

  • Anesthesiology Physician
  • Largo, FL
  • NPI 1316205339
  NPD
• Lifespan Corporation

  • Children's Rehabilitation Hospital
  • Providence, RI
  • NPI 1790221232
  NPD
• Steward Medical Group, Inc

  • Specialist
  • Brighton, MA
  • NPI 1356654495
  NPD
• National Surgical Centers of America LLC

  • Ambulatory Surgical Clinic/Center
  • Port St. Lucie, FL
  • NPI 1346662186
  NPD (past)

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

• Lifespan of Massachusetts - Fall River Inc

  • General Acute Care Hospital
  • Fall River, MA
  • NPI 1972330165

  Hospital

  Care Compare affiliation
• Lifespan of Massachusetts - Taunton Inc

  • General Acute Care Hospital
  • Taunton, MA
  • NPI 1609603877

  Hospital

  Care Compare affiliation
• Massachusetts Eye and Ear Infirmary

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1639101751

  Hospital

  Care Compare affiliation
• The General Hospital Corporation

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1023049236

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1063885697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4918",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328024918",
            "telephone_number": "407-581-9180",
            "fax_number": "865-560-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E ROBINSON ST",
            "address_2": "SUITE #130",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328014322",
            "telephone_number": "407-581-9180",
            "fax_number": "865-560-7066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Mall Rd",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018054322",
            "country_code": "US",
            "telephone_number": "781-744-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELIN",
        "first_name": "MARC",
        "middle_name": "A.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-04",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "111119",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9420516",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN280699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN MARC",
            "last_name": "SELIN",
            "middle_name": "A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Orlando, FL
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.