Individual provider Active NPI

Shawna Diane Seelbach, CNP

  • Family Nurse Practitioner
  • Edmond, OK
National Provider Identifier
1578069407
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
106960 Issued in OK
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

Updated by the provider on Apr 27, 2018

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180829000816 OK Practitioner - Nurse Practitioner 6709136534 Reassigns benefits to 1 organization

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
Oklahoma Arthritis Center, P.C.Group PAC ID 0446239743, 45 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
106960OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Arthritis Center, P.C. CurrentSince Aug 1, 2018 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.