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JOSHUA JACKSON SELLY NP
NPI 1205594579
Nurse Practitioner - Psychiatric/Mental Health in Worcester, MA

Active since December 03, 2021PECOS EnrolledAccepts Medicare Assignment
285 PLANTATION ST APT 627, WORCESTER, MA 01604(508) 736-3326 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Joshua Jackson Selly Np NPPES

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

JOSHUA JACKSON SELLY NP (NPI 1205594579) is an individual psychiatric/mental health provider in Worcester, Massachusetts, licensed in Massachusetts (RN2303725) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1205594579
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJOSHUA JACKSON SELLYCredential: NP
Location Address285 PLANTATION ST APT 627Worcester, MA 01604-7715
Mailing Address285 Plantation St Apt 627Worcester, MA 01604-7715 · (508) 736-3326
Phone(508) 736-3326
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 3, 2021
NPPES CertifiedDecember 3, 2021
✔ NPI 1205594579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MA · RN2303725
285 PLANTATION ST APT 627, Worcester, MA 01604
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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

Joshua Jackson Selly Np 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 ID5890210835
PECOS Enrollment IDI20250422003056
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 Reassignment

Medicare enrollment records show Joshua Selly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Koann Therapeutic Services Inc
35 mi
Psychiatric/Mental Health
845 N MAIN ST
Providence, RI 02904
  • Reassigned Medicare billing, Rhode Island enrollment
  • 13 clinicians in this Medicare group
NPI 1639843303 (401) 648-7172

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 01604 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Joshua Selly's NPI number?

The NPI number for Joshua Selly is 1205594579. It was assigned to this individual provider in the NPPES registry on December 3, 2021.

Where is Joshua Selly located?

Joshua Selly practices at 285 Plantation St Apt 627, Worcester, MA 01604. The listed phone number is (508) 736-3326.

What is Joshua Selly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Joshua Selly enrolled in Medicare?

Yes. Joshua Selly 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 organization bills Medicare for Joshua Selly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Selly reassigns Medicare benefits to Koann Therapeutic Services Inc (Providence, RI). 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 Joshua Selly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joshua Selly accept?

Health plans from Harvard Pilgrim Health Care list Joshua Selly 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 Joshua Selly was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.