Individual provider Active NPI

Selene Garcia-Van Camp, APRN FNP-C

  • Family Nurse Practitioner
  • Guymon, OK
National Provider Identifier
1720740657
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
205663 Issued in OK
Practice address
1753 N Roosevelt St
Guymon, OK 73942-2763
Phone
(580) 338-7792
Fax
(580) 338-7797
NPI assigned
Oct 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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 205663 OK Primary

Addresses

Primary practice location

1753 N Roosevelt St
Guymon, OK 73942-2763

Mailing address

1753 N Roosevelt St
Guymon, OK 73942-2763
Phone (580) 338-7792

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
I20211118000413 OK Practitioner - Nurse Practitioner 9830588599 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital of Texas County Authority 10 clinicians

Practice addresses (Care Compare)

421 Medical Dr
Guymon, OK 73942-3640
Phone (580) 338-6515

Hospital & facility affiliations

  • Memorial Hospital of Texas County Authority Hospital, Guymon, OK, CCN 371340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital of Texas County Authority CurrentSince Feb 1, 2025 Accepting new patients
Panhandle Counseling & Health Center, Inc. Current Accepting new patients
Memorial Hospital of Texas County Authority Current Accepting new patients
Memorial Hospital of Texas County Authority CurrentSince Feb 1, 2025 Accepting new patients
Memorial Hospital of Texas County Authority Past Accepting new patients
Memorial Hospital of Texas County Authority Past Accepting new patients

Locations

3247 US Highway 54
Guymon, OK 73942
Phone (580) 338-0072

520 Medical Dr
Guymon, OK 73942
Phone (580) 338-3113

1753 N Roosevelt St
Guymon, OK 73942
Phone (580) 338-2637

421 Medical Dr
Guymon, OK 73942
Phone (580) 338-3135

1309 N East St
Guymon, OK 73942
Phone (580) 338-4638

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1720740657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1753 N ROOSEVELT ST",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739422763",
            "telephone_number": "580-338-7792",
            "fax_number": "580-338-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1753 N ROOSEVELT ST",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739422763",
            "telephone_number": "580-338-7792",
            "fax_number": "580-338-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-VAN CAMP",
        "first_name": "SELENE",
        "credential": "APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "205663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guymon, OK

Sources for this page

Verify at the official NPI Registry.