Individual provider Active NPI

Tara Seleen, APNP

  • Family Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1932365434
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3578-33 Issued in WI
Practice address
1027 N 9TH St
Milwaukee, WI 53233-1411
Phone
(414) 765-0606
Fax
(414) 765-0226
NPI assigned
Aug 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 149961-030 WI
Family Nurse Practitioner 363LF0000X 3578-33 WI Primary

Addresses

Primary practice location

1027 N 9TH St
Milwaukee, WI 53233-1411

Mailing address

1027 N 9TH St
Milwaukee, WI 53233-1411
Phone (414) 765-0606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20090210000139 WI Practitioner - Nurse Practitioner 6608931514 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1004 N 10TH St
Milwaukee, WI 53233-1423
Phone (414) 765-0606

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3578WIMDClinical Psychologist
149961-030WIMDRegistered Nurse
3578-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary's Hospital Milwaukee, Inc CurrentSince Aug 2, 2018 Accepting new patients
Columbia St. Mary's Hospital Milwaukee Inc CurrentSince Aug 2, 2018 Accepting new patients
Outreach Community Health Centers, Inc. CurrentSince May 26, 2025 Accepting new patients
Outreach Community Health Centers, Inc CurrentSince May 26, 2025 Accepting new patients
Outreach Community Health Centers, Inc. PastSince Nov 10, 2024 Accepting new patients

Locations

220 W Capitol Dr
Glendale, WI 53212
Phone (414) 964-9018

2311 N Prospect Ave
Milwaukee, WI 53211
Phone (414) 319-3000

1027 N 9th St
Milwaukee, WI 53233
Phone (414) 727-6315

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1932365434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 N 9TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331411",
            "telephone_number": "414-765-0606",
            "fax_number": "414-765-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 N 9TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331411",
            "telephone_number": "414-765-0606",
            "fax_number": "414-765-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELEEN",
        "first_name": "TARA",
        "name_prefix": "Mrs.",
        "credential": "APNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "149961-030",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "3578-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.