Individual provider Active NPI

Macdana Selecon

  • Psychiatric/Mental Health Nurse Practitioner
  • Vacaville, CA
National Provider Identifier
1205500170
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95029190 Issued in CA
Practice address
1010 Helen Power Dr # 1058
Vacaville, CA 95687-3504
Phone
(707) 285-0472
Fax
(707) 203-8693
NPI assigned
Aug 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95029190 CA Primary
Registered Nurse 163W00000X 95204457 CA

Addresses

Primary practice location

1010 Helen Power Dr # 1058
Vacaville, CA 95687-3504

Mailing address

1010 Helen Power Dr # 1058
Vacaville, CA 95687-3504
Phone (707) 285-0472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20260506003847 CA Practitioner - Nurse Practitioner 2365987104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of California, San Francisco School of Medicine, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2100 Powell St
Emeryville, CA 94608-1826

2100 Powell St
Suite 400
Emeryville, CA 94608-1872

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95204457CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Healing One Mind Everyday Nursing Corporation Psychiatric/Mental Health CurrentSince Oct 12, 2025 Accepting new patients
Dr. Cohn'S Corrective Collective PastSince May 1, 2024 Accepting new patients

Locations

1010 Helen Power Dr
Vacaville, CA 95687
Phone (707) 285-0472

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.

NPI Registry JSON

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1205500170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 HELEN POWER DR # 1058",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956873504",
            "telephone_number": "707-285-0472",
            "fax_number": "707-203-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 HELEN POWER DR # 1058",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956873504",
            "telephone_number": "707-285-0472",
            "fax_number": "707-203-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELECON",
        "first_name": "MACDANA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95029190",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95204457",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

Verify at the official NPI Registry.