Active NPI
Shawna Diane Seelbach, CNP
- Family Nurse Practitioner
- Edmond, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 106960
- Practice address
- 1701 Renaissance Blvd
Edmond, OK 73013-3086 - Phone
- (405) 844-4978
- Fax
- (405) 844-0562
- NPI assigned
- Mar 31, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 106960 | OK | Primary |
Addresses
Primary practice location
1701 Renaissance Blvd
Edmond, OK 73013-3086
Mailing address
1701 Renaissance Blvd
Edmond, OK 73013-3086
Phone (405) 844-4978
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of South Alabama College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1701 Renaissance Blvd
Suite 110
Edmond, OK 73013-3084
Phone (405) 844-4978
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.12 of 100
- Quality
- 64.14
- Promoting interoperability
- 75
- Improvement activities
- 40
- Cost
- 70.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106960 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma Arthritis Center, P.C. | Current | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Locations
1705 Renaissance Blvd
Ste 120
Edmond, OK 73013
Phone (405) 715-4496
1700 S State St
Edmond, OK 73013
Phone (405) 330-1003
1701 Renaissance Blvd
Ste 110
Edmond, OK 73013
Phone (405) 844-4978
1701 Renaissance Blvd
Edmond, OK 73013
Phone (405) 341-7473
825 E Owen K Garriott Rd
Enid, OK 73701
Phone (580) 701-2586
808 Wall St
Norman, OK 73069
Phone (405) 321-5114
Interoperability endpoints
- shawnaseelbach@oac.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Rheumatology Physician
- Edmond, OK
- NPI 1528036019
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524787200000",
"number": "1578069407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 RENAISSANCE BLVD",
"city": "EDMOND",
"state": "OK",
"postal_code": "730133086",
"telephone_number": "405-844-4978",
"fax_number": "405-844-0562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 RENAISSANCE BLVD",
"city": "EDMOND",
"state": "OK",
"postal_code": "730133086",
"telephone_number": "405-844-4978",
"fax_number": "405-844-0562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEELBACH",
"first_name": "SHAWNA",
"middle_name": "DIANE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-31",
"last_updated": "2018-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "106960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.