SELENE KIRTELLA HENRY-LAKE CNM
NPI 1346506797
Midwife in Cortlandt Manor, NY

Active since April 10, 2012PECOS EnrolledAccepts Medicare Assignment
1978 CROMPOND RD STE 102, CORTLANDT MANOR, NY 10567(914) 736-6180 Get Directions Write a Review

NPPES record last updated: September 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 2, 2023, Feb 1, 2023, Mar 13, 2022 (3 updates tracked since 2022).

About Selene Kirtella Henry-lake Cnm NPPES

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

SELENE KIRTELLA HENRY-LAKE CNM (NPI 1346506797) is an individual midwife in Cortlandt Manor, New York, licensed in New York (F001457) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1346506797
Entity TypeIndividualFemale
Primary Taxonomy176B00000X
Provider Legal NameSELENE KIRTELLA HENRY-LAKECredential: CNM
Location Address1978 CROMPOND RD STE 102Cortlandt Manor, NY 10567-4114
Mailing Address1978 Crompond Rd Ste 102Cortlandt Manor, NY 10567-4114 · (914) 736-6180 · Fax (914) 736-6183
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 10, 2012
Last NPPES UpdateSeptember 2, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2023
✔ NPI 1346506797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMidwifeOther Service Providers
Taxonomy Code176B00000X
License✔ Licensed in NY · F001457
Definition
A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.
1978 CROMPOND RD STE 102, Cortlandt Manor, NY 10567

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

Selene Kirtella Henry-lake Cnm 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 ID5799071759
PECOS Enrollment IDI20211213000349
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 Reassignments

2

Medicare enrollment records show Selene Henry-lake reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1980 CROMPOND RD
Cortlandt Manor, NY 10567
  • Reassigned Medicare billing, New York enrollment
  • 307 clinicians in this Medicare group
General Acute Care Hospital
3424 KOSSUTH AVE
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 1,615 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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
1978 CROMPOND RD STE 102
CORTLANDT MANOR, NY 10567
Midwife
1978 CROMPOND RD STE 102
CORTLANDT MANOR, NY 10567

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 Selene Henry-lake's NPI number?

The NPI number for Selene Henry-lake is 1346506797. It was assigned to this individual provider in the NPPES registry on April 10, 2012.

Where is Selene Henry-lake located?

Selene Henry-lake practices at 1978 Crompond Rd Ste 102, Cortlandt Manor, NY 10567. The listed phone number is (914) 736-6180.

What is Selene Henry-lake's specialty?

The primary specialty registered for this NPI is Midwife with taxonomy code 176B00000X.

Is Selene Henry-lake enrolled in Medicare?

Yes. Selene Henry-lake 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 organizations bill Medicare for Selene Henry-lake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Selene Henry-lake reassigns Medicare benefits to 2 organizations: The Westchester Medical Practice, PC (Cortlandt Manor, NY) and New York City Health And Hospitals Corporation (Bronx, NY). Each 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 Selene Henry-lake'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 Selene Henry-lake was last updated on September 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.