Individual provider Active NPI

Selena Velasco, MSN, FNP-C

  • Family Nurse Practitioner
  • Munster, IN
National Provider Identifier
1730692401
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71007697A Issued in IN
Practice address
10120 Calumet Ave Ste 103
Munster, IN 46321-4076
Phone
(219) 836-2936
Fax
(219) 836-2949
NPI assigned
Nov 15, 2017
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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 71007697A IN Primary

Addresses

Primary practice location

10120 Calumet Ave Ste 103
Munster, IN 46321-4076

Mailing address

606 Lincolnway
Valparaiso, IN 46383-5728

Other practice location 1

2211 Roosevelt Rd
Valparaiso, IN 46383-2748
Phone (219) 476-7246

Other practice location 2

1928 45th St
Munster, IN 46321-3917
Phone (219) 476-7246

Other practice location 3

201 Main St
Hobart, IN 46342-4439
Phone (219) 476-7246

Other practice location 4

204 Legacy Plz W
LA Porte, IN 46350-5285
Phone (219) 476-7246

Other names 1

  • Selena Williamson Former name

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180301000427 IN Practitioner - Nurse Practitioner 6305107673 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Pain Control, IncGroup PAC ID 7416019450, 24 clinicians

Practice addresses (Care Compare)

204 Legacy Plaza W
Laporte, IN 46350-5285
Phone (219) 326-7246

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71007697AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of Indiana, LLC CurrentSince May 1, 2022 Accepting new patients
Centers for Pain Control, Inc CurrentSince Aug 14, 2019 Accepting new patients
Centers for Pain Control, Inc CurrentSince Aug 14, 2019 Accepting new patients
Centers for Pain Control Inc. Past Accepting new patients
Nephrology Associates of Northern Indiana, Inc PastSince Jun 1, 2025 Accepting new patients

Locations

201 Main St
Hobart, IN 46342
Phone 2194767246 ext. 321

133 W Market St
Indianapolis, IN 46204
Phone (317) 227-7551

1907 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5611

204 Legacy Plz W
Laporte, IN 46350
Phone (219) 326-7246

8687 Connecticut St
Ste D
Merrillville, IN 46410
Phone (219) 750-9630

1928 45th St
Munster, IN 46321
Phone 2194767246 ext. 321

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: selena.velasco.1@16383.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1730692401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 LINCOLNWAY",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10120 CALUMET AVE STE 103",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214076",
            "telephone_number": "219-836-2936",
            "fax_number": "219-836-2949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 Roosevelt Rd",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463832748",
            "country_code": "US",
            "telephone_number": "219-476-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1928 45th St",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463213917",
            "country_code": "US",
            "telephone_number": "219-476-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Main St",
            "address_purpose": "LOCATION",
            "city": "Hobart",
            "state": "IN",
            "postal_code": "463424439",
            "country_code": "US",
            "telephone_number": "219-476-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 Legacy Plz W",
            "address_purpose": "LOCATION",
            "city": "LA Porte",
            "state": "IN",
            "postal_code": "463505285",
            "country_code": "US",
            "telephone_number": "219-476-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELASCO",
        "first_name": "SELENA",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007697A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SELENA",
            "last_name": "WILLIAMSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.