ALEXIS SELVESYUK
NPI 1760200380
Nurse Practitioner - Family in Goshen, IN

Q: What is Alexis Selvesyuk's NPI number?

The NPI number for Alexis Selvesyuk is 1760200380. It was assigned to this individual provider in the NPPES registry on October 2, 2024.

Q: What is Alexis Selvesyuk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Alexis Selvesyuk was last updated on October 2, 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.

Active since October 02, 2024PECOS Enrolled

21764 OMEGA CT, GOSHEN, IN 46528(574) 891-4920 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Alexis Selvesyuk NPPES

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

ALEXIS SELVESYUK (NPI 1760200380) is an individual family provider in Goshen, Indiana, licensed in Indiana (28264843A) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760200380

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameALEXIS SELVESYUK

Location Address21764 OMEGA CTGoshen, IN 46528-7809

Mailing Address21764 Omega CtGoshen, IN 46528-7809 · (574) 891-4920

Phone(574) 891-4920

Sole ProprietorNo

Enumeration DateOctober 2, 2024

NPPES CertifiedOctober 2, 2024

✔ NPI 1760200380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 28264843A

21764 OMEGA CT, Goshen, IN 46528

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexis Selvesyuk is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 46528 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 8

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

JOANNA BELLE ROTH M.S., A.C.N.P.-B.C.

Nurse Practitioner