Active NPI
Cassandra Dawn Selby, RN, BSN, CNM, ARNP
- Advanced Practice Midwife
- Lafayette, IN
National Provider Identifier
1639320641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 09000357A
- Practice address
- 2316 South St
Lafayette, IN 47904-2971 - Phone
- (765) 742-1567
- Fax
- (765) 429-2700
- NPI assigned
- Oct 8, 2008
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 09000357A | IN | Primary |
Addresses
Primary practice location
2316 South St
Lafayette, IN 47904-2971
Mailing address
1716 Hartford St
Lafayette, IN 47904-2138
Phone (765) 742-1567
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300045852 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201119003182 | IN | Practitioner - Certified Nurse Midwife (CNM) | 5193912202 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Oregon Health Sciences University School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Riggs Community Health Center Inc
Practice addresses (Care Compare)
1324 Tippecanoe St
Lafayette, IN 47904-2051
Phone (765) 742-1567
1716 Hartford St
Lafayette, IN 47904-2168
1716 Hartford St
Lafayette, IN 47904-2173
Phone 76574215673041
2316 S St
Lafayette, IN 47904-2971
Phone (765) 742-1567
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Certified Nurse Midwife, Master of Science, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riggs Community Health Center Inc | Past | Accepting new patients | |
| Boone County Community Health Clinic, Inc | Past | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Lafayette, IN
- NPI 1386660900
IN
-
- Community Health Clinic/Center
- Lebanon, IN
- NPI 1962681734
-
- Federally Qualified Health Center (FQHC)
- Lafayette, IN
- NPI 1386876233
-
- General Practice Physician
- Loveland, CO
- NPI 1366763260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1639320641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1716 HARTFORD ST",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479042138",
"telephone_number": "765-742-1567",
"fax_number": "765-429-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2316 SOUTH ST",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479042971",
"telephone_number": "765-742-1567",
"fax_number": "765-429-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELBY",
"first_name": "CASSANDRA",
"middle_name": "DAWN",
"credential": "RN, BSN, CNM, ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-08",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IN",
"license": "09000357A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300045852",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.