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SELAH WELLNESS CLINIC LLC
NPI 1649139171
Psychiatry & Neurology - Psychiatry in Mora, MN

Active since January 20, 2026
905 FOREST AVE E STE 150, MORA, MN 55051(320) 372-2323(833) 651-2526 Get Directions Write a Review

NPPES record last updated: May 31, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 31, 2026, Jan 20, 2026 (2 updates tracked since 2026).

About Selah Wellness Clinic Llc NPPES

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

SELAH WELLNESS CLINIC LLC (NPI 1649139171) is a healthcare organization registered as a psychiatry in Mora, Minnesota and active in the NPI registry since January 2026. The organization lists Tina Keller, Vp Compliance, as its authorized official.

NPPES Registry Identity

NPI1649139171
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameSELAH WELLNESS CLINIC LLC
Location Address905 FOREST AVE E STE 150Mora, MN 55051-1632
Mailing Address501 Main StSandstone, MN 55072-4410
Phone(320) 372-2323
Fax(833) 651-2526
Organization SubpartNo
Authorized OfficialTina KellerVp Compliance · (320) 372-2323
Enumeration DateJanuary 20, 2026
Last NPPES UpdateMay 31, 20262 updates tracked since enumeration
NPPES CertifiedMay 31, 2026
✔ NPI 1649139171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
905 FOREST AVE E STE 150, Mora, MN 55051
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, Medica.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 2 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner9
Clinical Social Worker1
Internal Medicine1

Clinicians, nearest first (11)

Karissa Ignaszewski, PMHNP-C
Nurse Practitioner
NPI 1518222355
905 FOREST AVE E
Mora, MN 55051
(320) 679-6353
✔ PECOS✔ Accepts MedicareSame address
Joshua Larsen, LICSW
Clinical Social Worker
NPI 1366214488
23 PINE ST N
Mora, MN 55051
(320) 679-6964
✔ PECOS0.3 mi
Naomi Koenig, APRN,FNP-C, PMHNP-BC
Nurse Practitioner
NPI 1659893170
501 MAIN STREET
Sandstone, MN 55072
(320) 372-2323
✔ PECOS✔ Accepts Medicare19 mi
Joleen Peters, APRN, CNP, PMHNP-BC
Nurse Practitioner
NPI 1023845377
501 MAIN ST
Sandstone, MN 55072
(320) 372-2323
✔ PECOS✔ Accepts Medicare19 mi
Karron Cohoon, APRN, CNP
Nurse Practitioner
NPI 1902379613
501 MAIN ST
Sandstone, MN 55072
(320) 372-2323
✔ PECOS✔ Accepts Medicare27 mi
Danielle Carlin, CNP
Nurse Practitioner
NPI 1962946509
501 MAIN ST
Sandstone, MN 55072
(320) 372-2323
✔ PECOS✔ Accepts Medicare38 mi
Andrea Hanson, FNP
Nurse Practitioner
NPI 1245062546
501 MAIN ST
Sandstone, MN 55072
(320) 372-2323
✔ PECOS✔ Accepts Medicare38 mi
Shelly Kuhlmann, NP
Nurse Practitioner
NPI 1215797113
501 MAIN ST
Sandstone, MN 55072
(320) 373-2323
✔ PECOS✔ Accepts Medicare38 mi
Laura Ausmus, PMHNP
Nurse Practitioner
NPI 1790485225
3805 WASHINGTON AVE N
Minneapolis, MN 55412
(612) 887-6282
✔ PECOS59 mi
Vikas Mittal, MD
Internal Medicine
NPI 1629038377
1675 VILLAGE TRL E UNIT 6
Saint Paul, MN 55109
(507) 363-9367
✔ PECOS✔ Accepts Medicare59 mi
Amanda Collins, DNP
Nurse Practitioner
NPI 1730626524
1120 WAYZATA BLVD E STE 210
Wayzata, MN 55391
(320) 253-3512
✔ PECOS✔ Accepts Medicare63 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 1649139171. It was assigned to this organization in the NPPES registry on January 20, 2026.

Where is Selah Wellness Clinic LLC located?

Selah Wellness Clinic LLC is located at 905 Forest Ave E Ste 150, Mora, MN 55051. The listed phone number is (320) 372-2323.

What is Selah Wellness Clinic LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

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 2 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 and Medica 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 5 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.