SELENE R FORRESTALL CRNA
NPI 1013078013
Nurse Anesthetist, Certified Registered in Florence, SC

Active since December 13, 2006PECOS EnrolledAccepts Medicare Assignment
805 PAMPLICO HWY, FLORENCE, SC 29505(843) 792-1414 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 31, 2022, Jan 21, 2022, Sep 14, 2021 and 2 more (5 updates tracked since 2019).

About Selene R Forrestall Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SELENE R FORRESTALL CRNA (NPI 1013078013) is an individual nurse anesthetist, certified registered in Florence, South Carolina, licensed in South Carolina (22437) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1013078013
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSELENE R FORRESTALLCredential: CRNA
Location Address805 PAMPLICO HWYFlorence, SC 29505-6047
Mailing AddressPo Box 23321New York, NY 10087-3321 · (843) 792-6200
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateDecember 13, 2006
Last NPPES UpdateOctober 31, 20225 updates tracked since enumeration
NPPES CertifiedOctober 31, 2022
✔ NPI 1013078013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in SC · 22437✔ Licensed in MA · 254742
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
805 PAMPLICO HWY, Florence, SC 29505

Other Names 1

Former Name (1)Selene R Forrestall

Secondary Practice Locations 5

Location 1690 Canton St, Suite 325Westwood, MA 02090-2321 · Phone (781) 407-7713 · Fax (781) 407-0998
Location 2125 Doughty StCharleston, SC 29403-5736 · Phone (843) 792-1414
Location 39263 Medical Plaza Dr Ste ECharleston, SC 29406 · Phone (843) 572-1228
Location 4701 Grove RdGreenville, SC 29605-4210 · Phone (864) 455-3076 · Fax (864) 455-4135
Location 57 Independence Pt Ste 300Greenville, SC 29615-4569 · Phone (864) 522-3700 · Fax (864) 522-3705

Other Identifiers 1

MedicaidAN2850SC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Selene R Forrestall Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466452941
PECOS Enrollment IDI20070106000089, I20190205001542
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

12

Medicare enrollment records show Selene Forrestall reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
301 E JACKSON ST
Dillon, SC 29536
  • Reassigned Medicare billing, South Carolina enrollment
  • 126 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
155 MEMORIAL DR
Pinehurst, NC 28374
  • Reassigned Medicare billing, North Carolina enrollment
  • 154 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1235 NEXTON PKWY
Summerville, SC 29486
  • Reassigned Medicare billing, South Carolina enrollment
  • 23 clinicians in this Medicare group
Internal Medicine
506 NORTH ST
Bamberg, SC 29003
  • Reassigned Medicare billing, South Carolina enrollment
  • 2,389 clinicians in this Medicare group
Nutrition, Education
2097 HENRY TECKLENBURG DR STE 309W
Charleston, SC 29414
  • Reassigned Medicare billing, South Carolina enrollment
  • 375 clinicians in this Medicare group
Anesthesiology
1064 GARDNER ROAD, STE 112
Charleston, SC 29407
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Anesthesia Associates Of Charleston PA
  • 133 clinicians in this Medicare group
Anesthesiology
215 E BAY ST STE 201K
Charleston, SC 29401
  • Reassigned Medicare billing, South Carolina enrollment
  • 48 clinicians in this Medicare group
Rural
595 CAROLINA AVE WEST
Varnville, SC 29944
  • Reassigned Medicare billing, South Carolina enrollment
  • 49 clinicians in this Medicare group
General Acute Care Hospital
22725 HIGHWAY 76 E
Clinton, SC 29325
  • Reassigned Medicare billing, South Carolina enrollment
  • 413 clinicians in this Medicare group
Anesthesiology
183 MYSTIC PLACE NE
Atlanta, GA 30342
  • Reassigned Medicare billing, South Carolina enrollment
  • 73 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
18 services18 patients
Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
15 services15 patients
Anesthesia for placement or revision of blood flow shunt 01844
Anesthesia for blood flow shunt placement or revision ensures comfort during the procedure. It involves medication to numb or induce sleep, preventing pain or discomfort. It's safe, monitored by professionals, and tailored to individual needs.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
805 PAMPLICO HWY
FLORENCE, SC 29505
Physician Assistant
805 PAMPLICO HWY
FLORENCE, SC 29505
Internal Medicine
805 PAMPLICO HWY
FLORENCE, SC 29505
Dietitian, Registered
805 PAMPLICO HWY
FLORENCE, SC 29505
Nurse Practitioner (Acute Care)
805 PAMPLICO HWY
FLORENCE, SC 29505
Student in an Organized Health Care Education/Training Program
805 PAMPLICO HWY
FLORENCE, SC 29505
Nurse Anesthetist, Certified Registered
805 PAMPLICO HWY
FLORENCE, SC 29505
Specialist
805 PAMPLICO HWY, MALL A, SUITE 230
FLORENCE, SC 29505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Selene Forrestall's NPI number?

The NPI number for Selene Forrestall is 1013078013. It was assigned to this individual provider in the NPPES registry on December 13, 2006. The provider is also known as Selene R Forrestall.

Where is Selene Forrestall located?

Selene Forrestall practices at 805 Pamplico Hwy, Florence, SC 29505. The listed phone number is (843) 792-1414.

What is Selene Forrestall's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Selene Forrestall enrolled in Medicare?

Yes. Selene Forrestall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Selene Forrestall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Selene Forrestall reassigns Medicare benefits to 12 organizations: Mcleod Medical Center-Dillon (Dillon, SC), Firsthealth Of The Carolinas, Inc (Pinehurst, NC), North Charleston Sedation Associates, LLC (Summerville, SC), Musc Community Physicians (Bamberg, SC), Bon Secours St. Francis Xavier Hospital, Inc. (Charleston, SC) and 7 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Selene Forrestall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Selene Forrestall accept?

Health plans from Cigna Healthcare list Selene Forrestall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Selene Forrestall affiliated with any hospitals?

According to CMS data, Selene Forrestall is affiliated with Musc Medical Center.

When was this NPI record last updated?

The NPPES record for Selene Forrestall was last updated on October 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.