Individual provider Active NPI

Alexandria Selenke, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, CO
National Provider Identifier
1316503139
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0997822-NP Issued in CO
Practice address
2255 S 88TH St
Louisville, CO 80027-9716
Phone
(303) 673-9990
NPI assigned
May 16, 2019
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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 APN.0997822-NP CO Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 1624308 CO

Addresses

Primary practice location

2255 S 88TH St
Louisville, CO 80027-9716

Mailing address

16530 E Arizona PL
Aurora, CO 80017-4149
Phone (319) 415-7259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20220815001330 CO Practitioner - Nurse Practitioner 0840673422 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
Uhs of Centennial Peaks LLCGroup PAC ID 6204987621, 5 clinicians

Practice addresses (Care Compare)

2255 S 88TH St
Louisville, CO 80027-9716
Phone (303) 673-9990

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1624308COMDPsychiatric/Mental Health Registered Nurse
APN.0997822-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Centennial Peaks, LLC CurrentSince Jul 25, 2022 Accepting new patients
Uhs of Centennial Peaks LLC Current Accepting new patients
Flatirons Behavioral Health Past Accepting new patients

Locations

2255 S 88th St
Louisville, CO 80027
Phone (303) 666-2095

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1316503139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16530 E ARIZONA PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800174149",
            "telephone_number": "319-415-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 S 88TH ST",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279716",
            "telephone_number": "303-673-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELENKE",
        "first_name": "ALEXANDRIA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0997822-NP",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CO",
            "license": "1624308",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

Verify at the official NPI Registry.