Active NPI
Selina Villarreal Gonzalez, NP
- Family Nurse Practitioner
- Yuma, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 221654
- Practice address
- 1965 W 24TH St
Yuma, AZ 85364-6244 - Phone
- (928) 344-5774
- NPI assigned
- May 3, 2023
- 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 | 221654 | AZ | Primary |
Addresses
Primary practice location
1965 W 24TH St
Yuma, AZ 85364-6244
Mailing address
2400 S Avenue a
Yuma, AZ 85364-7127
Phone (928) 344-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1965 W 24TH St
Suite a
Yuma, AZ 85364-6255
Phone (928) 344-5774
Hospital & facility affiliations
- Amedisys Home Health
- Enhabit Home Health
- Yuma Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yuma Regional Medical Center | Current | Accepting new patients | |
| Yuma Regional Medical Center | Current | Accepting new patients | |
| Amb Medical, PLC | Past | Accepting new patients |
Locations
1965 W 24th St
Yuma, AZ 85364
Phone (520) 317-1775
2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100
1965 W 24th St
Ste A
Yuma, AZ 85364
Phone (928) 344-5774
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
-
- General Practice Physician
- Yuma, AZ
- NPI 1598993420
-
- Family Medicine Physician
- Yuma, AZ
- NPI 1487135802
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Yuma, AZ
- NPI 1154307924
-
- Home Health Agency
- Yuma, AZ
- NPI 1962854331
-
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1760171904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 S AVENUE A",
"city": "YUMA",
"state": "AZ",
"postal_code": "853647127",
"telephone_number": "928-344-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1965 W 24TH ST",
"city": "YUMA",
"state": "AZ",
"postal_code": "853646244",
"telephone_number": "928-344-5774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLARREAL GONZALEZ",
"first_name": "SELINA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-03",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "221654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.