Stephanie Danielle Selke, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95016593 Issued in CA

Practice address

250 N See Vee Lane
Bishop, CA 93514-8130

Phone

(760) 873-8461

Fax

(760) 873-3935

NPI assigned

Feb 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN, TX, CO, WI4 enrollments

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 4

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: stephanie.selke.p1@direct.toiyabe.nextgenshare.com

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.

• SBH-Madison LLC

  • Psychiatric Hospital
  • Middleton, WI
  • NPI 1023884871
  Medicare reassignment
• Southtown Psychiatry PLLC

  • Psychiatry Physician
  • San Antonio, TX
  • NPI 1457167702

  CO, IN

  Medicare reassignment
• Strategic BH-Brownsville LLC

  dba Palms Behavioral Health

  • Psychiatric Hospital
  • Harlingen, TX
  • NPI 1154782548
  Medicare reassignment

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1174157077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SEE VEE LANE",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935148130",
            "telephone_number": "760-873-8461",
            "fax_number": "760-873-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N SEE VEE LANE",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935148130",
            "telephone_number": "760-873-8461",
            "fax_number": "760-873-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELKE",
        "first_name": "STEPHANIE",
        "middle_name": "DANIELLE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-28",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "849798",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "1620929",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0995611",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "THP11576F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanette Elaine Schneider, M.D., PH.D.
• Edie Schrader, R.N.
• Timothy Schumacher
• Michael Schweitzer, CMT
• Curtis Schweizer, M.D.
• Ses Event Safety, Inc.
• Michelle Leigh Shambo, LPCC, LMHC
• Uttama Sharma, MD
• Katherine Irene Sheehan, PTA
• Danielle Shefet

• Family Nurse Practitioner in Bishop, CA
• Providers in Bishop, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.