Individual provider Active NPI

Selina Lewis, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • McAlester, OK
National Provider Identifier
1427838671
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
217558 Issued in OK
Practice address
1101 E Monroe Ave
McAlester, OK 74501-4815
Phone
(918) 426-7800
NPI assigned
Oct 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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 1138307 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 217558 OK Primary

Addresses

Primary practice location

1101 E Monroe Ave
McAlester, OK 74501-4815

Mailing address

3620 E Whitestone Blvd
Cedar Park, TX 78613-7441
Phone (512) 260-2732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20240707000176 OK Practitioner - Nurse Practitioner 9537603170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
State of OklahomaGroup PAC ID 4486558962, 99 clinicians

Practice addresses (Care Compare)

1101 E Monroe Ave
Carl Albert Mental Health
McAlester, OK 74501-4826
Phone (918) 426-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
217558OKMDPsychiatric/Mental Health Nurse Practitioner
1138307TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Oklahoma CurrentSince Jun 20, 2024 Accepting new patients
State of Oklahoma CurrentSince Jun 20, 2024 Accepting new patients
State of Oklahoma Current Accepting new patients

Locations

1101 E Monroe Ave
McAlester, OK 74501
Phone (918) 426-7878

2323 S Harvard Ave
Tulsa, OK 74114
Phone (918) 293-2140

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": "1696377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1427838671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 E WHITESTONE BLVD",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137441",
            "telephone_number": "512-260-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E MONROE AVE",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014815",
            "telephone_number": "918-426-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SELINA",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-04",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1138307",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "217558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAlester, OK

Sources for this page

Verify at the official NPI Registry.