Individual provider Active NPI

Tracy Ann Selhorst, CNP

  • Family Nurse Practitioner
  • Russells Point, OH
National Provider Identifier
1356755243
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.15968 Issued in OH
Practice address
322 E Main St
Russells Point, OH 43348-9601
Phone
(937) 842-2318
NPI assigned
Jun 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.15968 OH Primary

Addresses

Primary practice location

322 E Main St
Russells Point, OH 43348-9601

Mailing address

1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone (419) 226-5018

Other practice location 1

602 W Redskin Trl
Wapakoneta, OH 45895-9349
Phone (419) 738-5151

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tracy.selhorst@lmpc.eclinicaldirectplus.com

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
I20140721001837 OH Practitioner - Nurse Practitioner 1557587979 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone (419) 998-4575

322 E Main St
Russells Point, OH 43348-9601
Phone (937) 842-2318

602 W Redskin TRL
Wapakoneta, OH 45895-9349
Phone (419) 738-5151

800 W Main St
Coldwater, OH 45828-1613
Phone (419) 678-2341

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.15968OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Services of Darke County, Inc. CurrentSince Jul 17, 2023 Accepting new patients
Family Health Services of Darke County, Inc. CurrentSince Jul 17, 2023 Accepting new patients
Mercer County Joint Township Community Hospital CurrentSince Aug 9, 2017 Accepting new patients
Diagnostic Pathology, LLC Current Accepting new patients
Mercer County Joint Township Community Hospital CurrentSince Aug 9, 2017 Accepting new patients
Lima Memorial Professional Corporation CurrentSince Jul 7, 2014 Accepting new patients
Family Health Services of Darke County Inc Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Lima Memorial Professional Corporation Past Accepting new patients

Locations

702 N Main St
Arcanum, OH 45304
Phone (937) 548-1141

800 W Main St
Coldwater, OH 45828
Phone (419) 678-2341

L3982
Columbus, OH 43260

5735 Meeker Rd
Greenville, OH 45331
Phone (937) 548-3806

1101 Jackson St
Ste C
Greenville, OH 45331
Phone (937) 547-2319

1005 Bellefontaine Ave
Ste 340
Lima, OH 45804
Phone (419) 222-8432

1005 Bellefontaine Ave
Ste 100
Lima, OH 45804
Phone (419) 222-3521

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

1003 Bellefontaine Ave
Ste 200
Lima, OH 45804
Phone (419) 224-5914

102 Putnam Pkwy
Ottawa, OH 45875
Phone (419) 523-9632

322 E Main St
Russells Point, OH 43348
Phone (937) 842-2318

10484 Kley Rd
Versailles, OH 45380
Phone (937) 526-3016

602 W Redskin Trl
Wapakoneta, OH 45895
Phone (419) 738-5151

Interoperability endpoints

  • Direct secure messaging: tselhorst473817@direct.osumc.edu
  • Direct secure messaging: tracy.selhorst@lmpc.eclinicaldirectplus.com

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1356755243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BELLEFONTAINE AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458042800",
            "telephone_number": "419-226-5018",
            "fax_number": "419-998-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 E MAIN ST",
            "city": "RUSSELLS POINT",
            "state": "OH",
            "postal_code": "433489601",
            "telephone_number": "937-842-2318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 W Redskin Trl",
            "address_purpose": "LOCATION",
            "city": "Wapakoneta",
            "state": "OH",
            "postal_code": "458959349",
            "country_code": "US",
            "telephone_number": "419-738-5151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELHORST",
        "first_name": "TRACY",
        "middle_name": "ANN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.15968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tracy.selhorst@lmpc.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "address_1": "322 E Main St",
            "city": "Russells Point",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433489601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Russells Point, OH

Sources for this page

Verify at the official NPI Registry.