Individual provider Active NPI

Heather Selby, APRN, FNP-C

  • Family Medicine Physician
  • Wapakoneta, OH
National Provider Identifier
1144956582
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APRN.CNP.0031939 Issued in OH
Practice address
1007 W Auglaize St
Wapakoneta, OH 45895-1351
Phone
(419) 738-9601
Fax
(419) 738-6459
NPI assigned
Jul 27, 2022
Last updated
Dec 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APRN.CNP.0031939 OH Primary

Addresses

Primary practice location

1007 W Auglaize St
Wapakoneta, OH 45895-1351

Mailing address

1007 W Auglaize St
Wapakoneta, OH 45895-1351
Phone (419) 738-9601

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dfarley@bright.net AUGLAIZE FAMILY PRACTICE CENTER LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220902001301 OH Practitioner - Nurse Practitioner 4486687175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Auglaize Family Practice Center LLCGroup PAC ID 1850469164, 4 clinicians

Practice addresses (Care Compare)

1007 W Auglaize St
Wapakoneta, OH 45895-1351
Phone (419) 738-9601

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Auglaize Family Practice Center LLC Family Medicine CurrentSince Jul 27, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1007 W Auglaize St
Wapakoneta, OH 45895
Phone (419) 738-9601

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1144956582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 W AUGLAIZE ST",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458951351",
            "telephone_number": "419-738-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 W AUGLAIZE ST",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458951351",
            "telephone_number": "419-738-9601",
            "fax_number": "419-738-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELBY",
        "first_name": "HEATHER",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "APRN.CNP.0031939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dfarley@bright.net",
            "affiliation": "Y",
            "affiliationName": "AUGLAIZE FAMILY PRACTICE CENTER LLC",
            "address_1": "1007 W Auglaize St",
            "city": "Wapakoneta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458951351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wapakoneta, OH

Sources for this page

Verify at the official NPI Registry.