SELINA M VILLANUEVA N.P.
NPI 1639721137
Nurse Practitioner - Family in Watertown, NY
About Selina M Villanueva N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SELINA M VILLANUEVA N.P. (NPI 1639721137) is an individual family provider in Watertown, New York, licensed in New York (344587) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Samaritan Medical Center, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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
Selina M Villanueva N.p. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Selina Villanueva reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Watertown, NY 13601
- Reassigned Medicare billing, New York enrollment
- 8 clinicians in this Medicare group
Watertown, NY 13601
- Reassigned Medicare billing, New York enrollment
- 26 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Samaritan Medical Center
Acute Care Hospitals · Watertown, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Selina Villanueva's NPI number?
The NPI number for Selina Villanueva is 1639721137. It was assigned to this individual provider in the NPPES registry on July 15, 2019.
Where is Selina Villanueva located?
Selina Villanueva practices at 457 Gaffney Dr, Watertown, NY 13601. The listed phone number is (315) 779-2273.
What is Selina Villanueva's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Selina Villanueva enrolled in Medicare?
Yes. Selina Villanueva 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 Selina Villanueva's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Selina Villanueva reassigns Medicare benefits to 2 organizations: Watertown Urgent Care PLLC (Watertown, NY) and North Country Family Health Center, Inc. (Watertown, 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 Selina Villanueva's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Selina Villanueva affiliated with any hospitals?
According to CMS data, Selina Villanueva is affiliated with Samaritan Medical Center.
When was this NPI record last updated?
The NPPES record for Selina Villanueva was last updated on July 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Selina M Villanueva, N.P. · NPI 1639721137
Family physician in Watertown, New York. Individual provider, active in the CMS NPPES registry since July 15, 2019.
## Identity
- **NPI:** 1639721137 (Entity type: Individual)
- **Enumerated:** July 15, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 344587 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 457 GAFFNEY DR, Watertown, NY 13601
- **Phone:** (315) 779-2273 · **Fax:** (315) 779-2274
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Watertown Urgent Care PLLC (NPI 1194924134, Watertown, NY); North Country Family Health Center, Inc. (NPI 1609946821, Watertown, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 15, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1639721137) · Data from the CMS NPPES public registry.