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

Active since October 02, 2024
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: August 02, 2026.

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.

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
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

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.

Nurse Practitioner
21764 OMEGA CT
GOSHEN, IN 46528
Counselor (Mental Health)
21764 OMEGA CT
GOSHEN, IN 46528
Clinic/Center (Mental Health (Including Community Mental Health Center))
21764 OMEGA CT
GOSHEN, IN 46528
Nurse Practitioner (Family)
21764 OMEGA CT
GOSHEN, IN 46528
General Practice
21764 OMEGA CT
GOSHEN, IN 46528
Nurse Practitioner (Family)
21764 OMEGA CT
GOSHEN, IN 46528
Nurse Practitioner (Family)
21764 OMEGA CT
GOSHEN, IN 46528
Nurse Practitioner
21764 OMEGA CT
GOSHEN, IN 46528

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 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.

Where is Alexis Selvesyuk located?

Alexis Selvesyuk practices at 21764 Omega Ct, Goshen, IN 46528. The listed phone number is (574) 891-4920.

What is Alexis Selvesyuk's specialty?

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

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 22 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.