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TERESE AILEEN O'NEIL SELVAGE MN, CNP
NPI 1205935004
Nurse Practitioner - Adult Health in Santa Fe, NM

Active since September 21, 2006PECOS Enrolled
1160 CAMINO DE CRUZ BLANCA, SANTA FE, NM 87505(505) 984-6418(505) 984-6918 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 31, 2023, Nov 7, 2019, Oct 19, 2018 (3 updates tracked since 2018).

About Terese Aileen O'neil Selvage Mn, Cnp NPPES

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

TERESE AILEEN O'NEIL SELVAGE MN, CNP (NPI 1205935004) is an individual adult health provider in Santa Fe, New Mexico, licensed in New Mexico (R36675) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205935004
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameTERESE AILEEN O'NEIL SELVAGECredential: MN, CNP
Location Address1160 CAMINO DE CRUZ BLANCASanta Fe, NM 87505-4584
Mailing AddressPo Box 6880Santa Fe, NM 87502-6880 · (505) 216-0332 · Fax (505) 982-0279
Phone(505) 984-6418
Fax(505) 984-6918
Sole ProprietorNo
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJanuary 17, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2024
✔ NPI 1205935004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NM · R36675
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License CNP00790 (NM)
1160 CAMINO DE CRUZ BLANCA, Santa Fe, NM 87505
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Other Names 1

Former Name (1)Terese Aileen O'neil Mn, Cnp

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Terese Aileen O'neil Selvage Mn, Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Terese Selvage reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southwest Care Center
2.4 mi
Federally Qualified Health Center (FQHC)
649 HARKLE RD STE E
Santa Fe, NM 87505
  • Reassigned Medicare billing, New Mexico enrollment
  • 43 clinicians in this Medicare group
NPI 1871602698 (505) 955-9454

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 87505 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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 Terese Selvage's NPI number?

The NPI number for Terese Selvage is 1205935004. It was assigned to this individual provider in the NPPES registry on September 21, 2006. The provider is also known as Terese Aileen O'neil Mn, Cnp.

Where is Terese Selvage located?

Terese Selvage practices at 1160 Camino De Cruz Blanca, Santa Fe, NM 87505. The listed phone number is (505) 984-6418.

What is Terese Selvage's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Terese Selvage enrolled in Medicare?

Yes. Terese Selvage is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Terese Selvage's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Terese Selvage reassigns Medicare benefits to Southwest Care Center (Santa Fe, NM). 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 Terese Selvage's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Terese Selvage was last updated on January 17, 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.