TERI L SELSTROM DNP
NPI 1073881397
Clinical Nurse Specialist - Family Health in Centralia, WA
About Teri L Selstrom Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TERI L SELSTROM DNP (NPI 1073881397) is an individual family health provider in Centralia, Washington, licensed in Washington (AP60229000) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Teri L Selstrom Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Teri Selstrom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tumwater, WA 98512
- Reassigned Medicare billing, Washington enrollment
- 23 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98531 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Teri Selstrom's NPI number?
The NPI number for Teri Selstrom is 1073881397. It was assigned to this individual provider in the NPPES registry on December 1, 2011.
Where is Teri Selstrom located?
Teri Selstrom practices at 1815 Cooks Hill Rd Ste B, Centralia, WA 98531. The listed phone number is (360) 807-7776.
What is Teri Selstrom's specialty?
The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Family Health, with taxonomy code 364SF0001X.
Is Teri Selstrom enrolled in Medicare?
Yes. Teri Selstrom is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Teri Selstrom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Teri Selstrom reassigns Medicare benefits to Fasa Family Wellness, PLLC (Tumwater, WA). The 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 Teri Selstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Teri Selstrom accept?
Health plans from Providence Health Plan list Teri Selstrom 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.
When was this NPI record last updated?
The NPPES record for Teri Selstrom was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Teri L Selstrom, DNP · NPI 1073881397
Family Health physician in Centralia, Washington. Individual provider, active in the CMS NPPES registry since December 1, 2011.
## Identity
- **NPI:** 1073881397 (Entity type: Individual)
- **Enumerated:** December 1, 2011
- **Primary specialty:** Clinical Nurse Specialist - Family Health · taxonomy 364SF0001X
- **State license:** AP60229000 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1815 COOKS HILL RD STE B, Centralia, WA 98531-9170
- **Phone:** (360) 807-7776
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Fasa Family Wellness, PLLC (NPI 1790181899, Tumwater, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 20, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1073881397) · Data from the CMS NPPES public registry.