SELAH WELLNESS CLINIC LLC
NPI 1215676747
Clinic/Center - Primary Care in Sandstone, MN

Active since June 02, 2022
501 MAIN STREET, SANDSTONE, MN 55072(320) 372-2323 Get Directions Write a Review

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

Record update history: May 31, 2026, Jan 4, 2026, May 5, 2023 and 1 more (4 updates tracked since 2022).

About Selah Wellness Clinic Llc NPPES

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

SELAH WELLNESS CLINIC LLC (NPI 1215676747) is a healthcare organization registered as a primary care in Sandstone, Minnesota and active in the NPI registry since June 2022. The organization lists Tina Keller, Vp Compliance, as its authorized official.

NPPES Registry Identity

NPI1215676747
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSELAH WELLNESS CLINIC LLC
Location Address501 MAIN STREETSandstone, MN 55072
Mailing AddressPo Box 516Sandstone, MN 55072-0516
Organization SubpartNo
Authorized OfficialTina KellerVp Compliance · (320) 372-2323
Enumeration DateJune 2, 2022
Last NPPES UpdateMay 31, 20264 updates tracked since enumeration
NPPES CertifiedMay 31, 2026
✔ NPI 1215676747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
501 MAIN STREET, Sandstone, MN 55072

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Selah Wellness Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Selah Wellness Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner9
Clinical Social Worker1
Internal Medicine1

Clinicians, nearest first (11)

Nurse Practitioner
NPI 1902379613
501 MAIN ST
Sandstone, MN 55072
(320) 372-2323
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1659893170
501 MAIN STREET
Sandstone, MN 55072
(320) 372-2323
✔ PECOS✔ Accepts Medicare9.1 mi
Nurse Practitioner
NPI 1023845377
501 MAIN ST
Sandstone, MN 55072
(320) 372-2323
✔ PECOS✔ Accepts Medicare9.1 mi
Nurse Practitioner
NPI 1962946509
501 MAIN ST
Sandstone, MN 55072
(320) 372-2323
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1245062546
501 MAIN ST
Sandstone, MN 55072
(320) 372-2323
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1215797113
501 MAIN ST
Sandstone, MN 55072
(320) 373-2323
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1518222355
905 FOREST AVE E
Mora, MN 55051
(320) 679-6353
✔ PECOS✔ Accepts Medicare27 mi
Clinical Social Worker
NPI 1366214488
23 PINE ST N
Mora, MN 55051
(320) 679-6964
✔ PECOS27 mi
Internal Medicine
NPI 1629038377
1675 VILLAGE TRL E UNIT 6
Saint Paul, MN 55109
(507) 363-9367
✔ PECOS✔ Accepts Medicare76 mi
Nurse Practitioner
NPI 1790485225
3805 WASHINGTON AVE N
Minneapolis, MN 55412
(612) 887-6282
✔ PECOS79 mi
Nurse Practitioner
NPI 1730626524
1120 WAYZATA BLVD E STE 210
Wayzata, MN 55391
(320) 253-3512
✔ PECOS✔ Accepts Medicare86 mi

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

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 Selah Wellness Clinic LLC's NPI number?

The NPI number for Selah Wellness Clinic LLC is 1215676747. It was assigned to this organization in the NPPES registry on June 2, 2022.

Where is Selah Wellness Clinic LLC located?

Selah Wellness Clinic LLC is located at 501 Main Street, Sandstone, MN 55072. The listed phone number is (320) 372-2323.

What is Selah Wellness Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Selah Wellness Clinic LLC enrolled in Medicare?

Yes. Selah Wellness Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Selah Wellness Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Selah Wellness Clinic LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (9), Clinical Social Worker (1) and Internal Medicine (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Selah Wellness Clinic LLC accept?

Health plans from Aspirus Health Plan, HealthPartners and Sanford Health Plan list Selah Wellness Clinic LLC 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 Selah Wellness Clinic LLC was last updated on May 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.