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SELAH MEDICAL, LLC
NPI 1336923192
Nurse Practitioner in Cheyenne, WY

Active since August 22, 2023
920 CREIGHTON ST, CHEYENNE, WY 82009(307) 640-0273(307) 514-0231 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 29, 2023, Aug 22, 2023 (2 updates tracked since 2023).

About Selah Medical, Llc NPPES

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

SELAH MEDICAL, LLC (NPI 1336923192) is a healthcare organization registered as a nurse practitioner in Cheyenne, Wyoming and active in the NPI registry since August 2023. The organization lists Kristine Marie Martino, Owner, as its authorized official.

NPPES Registry Identity

NPI1336923192
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameSELAH MEDICAL, LLC
Location Address920 CREIGHTON STCheyenne, WY 82009-3229
Mailing Address920 Creighton StCheyenne, WY 82009-3229 · (307) 640-0273 · Fax (307) 514-0231
Phone(307) 640-0273
Fax(307) 514-0231
Organization SubpartNo
Authorized OfficialKristine Marie MartinoOwner · (307) 640-0273
Enumeration DateAugust 22, 2023
Last NPPES UpdateMarch 11, 20242 updates tracked since enumeration
NPPES CertifiedMarch 6, 2024
✔ NPI 1336923192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
920 CREIGHTON ST, Cheyenne, WY 82009
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.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 Medical, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Selah Medical, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kristine Martino, APRN
Nurse Practitioner
NPI 1700134327
920 CREIGHTON ST
Cheyenne, WY 82009
(307) 640-0273
✔ PECOS✔ Accepts MedicareSame address

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 Medical, LLC's NPI number?

The NPI number for Selah Medical, LLC is 1336923192. It was assigned to this organization in the NPPES registry on August 22, 2023.

Where is Selah Medical, LLC located?

Selah Medical, LLC is located at 920 Creighton St, Cheyenne, WY 82009. The listed phone number is (307) 640-0273.

What is Selah Medical, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Selah Medical, LLC enrolled in Medicare?

Yes. Selah Medical, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Selah Medical, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Selah Medical, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Selah Medical, LLC accept?

Health plans from Blue Cross Blue Shield of Wyoming list Selah Medical, 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 Medical, LLC was last updated on March 11, 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.