Brittany Selleke, NP
Individual provider Active NPI Nurse Practitioner · Marlette, MI
NPI 1497534655 · NPPES record last updated Sep 27, 2023
Key facts
- NPI
- 1497534655
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 4704316209 (MI)
- Practice address
- 2770 Main St Ste 5
Marlette, MI 48453-1141 - Phone
- (810) 376-3100
- Fax
- (989) 789-3257
- NPI assigned
- Sep 27, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 23
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Saginaw Valley Medical College - NLG, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hills and Dales General Hospital Inc
Practice addresses (Care Compare)
650 W Sanilac Rd
Sandusky Rapid Care
Sandusky, MI 48471-9704
Phone (989) 912-6790
Hospital & facility affiliations
- Marlette Regional Hospital
- Deckerville Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230929003155 | MI | Practitioner - Nurse Practitioner | 6103270764 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704316209 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hills & Dales General Hospital, Inc. | Current |
Accepting new patients | |
| Deckerville Community Hospital, Inc | Current |
Accepting new patients | |
| Marlette Regional Hospital | Current |
Accepting new patients | |
| Hills & Dales General Hospital, Inc. | Current |
Accepting new patients | |
| Deckerville Community Hospital, Inc | Current |
Accepting new patients | |
| Hills & Dales General Hospital, Inc. | Current |
Accepting new patients | |
| Deckerville Community Hospital, Inc. | Current |
Accepting new patients | |
| Marlette Regional Hospital | Current |
Accepting new patients | |
| Hills & Dales General Hospital, Inc. | Past | Accepting new patients | |
| Marlette Regional Hospital | Past | Accepting new patients | |
| Deckerville Community Hospital, Inc. | Past | Accepting new patients |
Locations
4675 Hill St
Ste B
Cass City, MI 48726
Phone (989) 912-6112
4675 Hill St
Cass City, MI 48726
Phone (989) 872-2121
3559 Pine St
Deckerville, MI 48427
Phone (810) 376-2835
2750 Main St
Marlette, MI 48453
Phone (989) 635-4002
2750 Main St
Ste 6
Marlette, MI 48453
Phone (810) 376-2885
2750 Main St
Ste 5
Marlette, MI 48453
Phone (989) 635-4050
2770 Main St
Ste 5
Marlette, MI 48453
Phone (810) 376-3100
2770 Main St
Marlette, MI 48453
Phone (989) 635-4000
650 W Sanilac Rd
Ste 1
Sandusky, MI 48471
650 W Sanilac Rd
Sandusky, MI 48471
Phone (989) 912-6725
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/i-zcCbJ35X2O5bJkqEF8dvUIAeQf3o9y/
- bselleke178173@direct.covenanthealthcare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704316209 | MI | Yes |
Addresses
Primary practice location
2770 Main St Ste 5
Marlette, MI 48453-1141
Mailing address
PO Box 126
Deckerville, MI 48427-0126
Other practice location 1
3532 Main St
Deckerville, MI 48427-9615
Phone (810) 376-3100
Other providers in Marlette, MI
- Rite Aid of Michigan Inc
- Robert G Mutch DO PC
- Saib Isterabadi MD
- Marlene May Schank
- Selad Corporation
- Deborah L. Shaw
- Smith Physical Therapy and Sports Medicine
- Hayley Stamps
- Straight Imaging, PC
- Samantha Strickler
All providers in Marlette, MI · Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.