Individual provider Active NPI

Selina Czerwinski Clow, NP-C

  • Family Nurse Practitioner
  • Arcata, CA
National Provider Identifier
1821371923
Registry record updated Feb 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9334752 Issued in FL
Practice address
770 10TH St
Arcata, CA 95521-6210
Phone
(707) 826-8610
NPI assigned
Sep 25, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9334752 FL Primary
Family Nurse Practitioner 363LF0000X 95012186 CA

Addresses

Primary practice location

770 10TH St
Arcata, CA 95521-6210

Mailing address

1107 Key PLZ # 417
Key West, FL 33040-4077
Phone (410) 905-3894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20120323000028 FL Practitioner - Nurse Practitioner 8022278399 Reassigns benefits to 1 organization
I20210526002718 TX Practitioner - Nurse Practitioner 8022278399 Reassigns benefits to 1 organization
I20240325000771 CA Practitioner - Nurse Practitioner 8022278399 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Karuk TribeGroup PAC ID 4688668387, 11 clinicians

Practice addresses (Care Compare)

64236 2ND Ave
Happy Camp, CA 96039-1016
Phone (530) 493-1600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95012186CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Karuk Tribe Current Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
Karuk Tribe CurrentSince Feb 24, 2025 Accepting new patients
Karuk Tribe CurrentSince Feb 24, 2025 Accepting new patients
DHHS IHS Phoenix Area CurrentSince May 10, 2021 Accepting new patients
Santa Barbara County Auditor Current Accepting new patients
Florida Keys Area Health Education Center, Inc. PastSince Jul 24, 2022 Accepting new patients
Lower Keys Inpatient Services, LLC Past Accepting new patients

Locations

12033 Agency Rd
Parker, AZ 85344
Phone (760) 572-4137

301 N R St
Lompoc, CA 93436
Phone (805) 737-6400

300 N San Antonio Rd
Rm 107
Santa Barbara, CA 93110
Phone (805) 681-5461

Organizations & group practices 9

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 2

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": "1316908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675468800000",
    "number": "1821371923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 KEY PLZ # 417",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404077",
            "telephone_number": "410-905-3894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 10TH ST",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955216210",
            "telephone_number": "707-826-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOW",
        "first_name": "SELINA",
        "middle_name": "CZERWINSKI",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-25",
        "last_updated": "2023-02-04",
        "certification_date": "2023-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9334752",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012186",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcata, CA

Sources for this page

Verify at the official NPI Registry.