SUSAN E SELTHOFNER DNP
NPI 1356008668
Nurse Practitioner - Psychiatric/Mental Health in West Allis, WI

Active since November 22, 2021PECOS EnrolledAccepts Medicare Assignment
11101 W LINCOLN AVE, WEST ALLIS, WI 53227(800) 767-4411(414) 328-3708 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Susan E Selthofner Dnp NPPES

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

SUSAN E SELTHOFNER DNP (NPI 1356008668) is an individual psychiatric/mental health provider in West Allis, Wisconsin, licensed in Wisconsin (11839) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Flint, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1356008668
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSUSAN E SELTHOFNERCredential: DNP
Location Address11101 W LINCOLN AVEWest Allis, WI 53227-1133
Mailing Address1511 Green Tree RdWest Bend, WI 53090-1755 · (702) 283-0448
Fax(414) 328-3708
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 22, 2021
Last NPPES UpdateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
NPI 1356008668 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 WI · 11839
11101 W LINCOLN AVE, West Allis, WI 53227

Secondary Practice Location 1

Location 1303 E Kearsley StFlint, MI 48502-1907 · Phone (810) 762-3420

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Susan E Selthofner Dnp 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 ID8426444860
PECOS Enrollment IDI20220411002535
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53227 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES 20

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

Psychologist
11101 W LINCOLN AVE, ROGERS MEMORIAL HOSPITAL
WEST ALLIS, WI 53227
Psychologist
11101 W LINCOLN AVE, ROGERS MEMORIAL HOSPITAL
WEST ALLIS, WI 53227
Internal Medicine
11101 W LINCOLN AVE
WEST ALLIS, WI 53227
General Practice
11101 W LINCOLN AVE, ROGERS MEMORIAL HOSPITAL
WEST ALLIS, WI 53227
Clinical Neuropsychologist
11101 W LINCOLN AVE
WEST ALLIS, WI 53227
Psychiatry & Neurology (Psychiatry)
11101 W LINCOLN AVE
WEST ALLIS, WI 53227
Registered Nurse (Psychiatric/Mental Health)
11101 W LINCOLN AVE
WEST ALLIS, WI 53227
Registered Nurse (Psychiatric/Mental Health)
11101 W LINCOLN AVE
WEST ALLIS, WI 53227

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356008668, enumerated as an "individual" on November 22, 2021.

The provider is located at 11101 W LINCOLN AVE WEST ALLIS, WI 53227 and the phone number is (800) 767-4411.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Arkansas Blue. Please consult your insurance carrier or call the provider to verify.