Active NPI
Selene Garcia-Van Camp, APRN FNP-C
- Family Nurse Practitioner
- Guymon, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 205663
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
421 Medical Dr
Guymon, OK 73942-3640
Phone (580) 338-6515
Hospital & facility affiliations
- Memorial Hospital of Texas County Authority
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital of Texas County Authority | Current | 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 | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Guymon, OK
- NPI 1891102331
OK
-
- Medical Specialty Clinic/Center
- Hooker, OK
- NPI 1356047526
-
- Orthopaedic Surgery Physician
- Guymon, OK
- NPI 1992009039
-
- Federally Qualified Health Center (FQHC)
- Guymon, OK
- NPI 1427464437
-
- Medical Specialty Clinic/Center
- Texhoma, OK
- NPI 1700905726
-
- Medical Specialty Clinic/Center
- Guymon, OK
- NPI 1730380825
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Guymon, OK
- NPI 1144205360
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.