JENNIFER NICOLE SELBY RN, AGACNP
NPI 1760905756
Nurse Practitioner - Acute Care in Kingston, NY
About Jennifer Nicole Selby Rn, Agacnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER NICOLE SELBY RN, AGACNP (NPI 1760905756) is an individual acute care provider in Kingston, New York, licensed in New York (431159) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jennifer Nicole Selby Rn, Agacnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jennifer Selby reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Valhalla, NY 10595
- Reassigned Medicare billing, New York enrollment
- 1,663 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12401 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 20
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 Jennifer Selby's NPI number?
The NPI number for Jennifer Selby is 1760905756. It was assigned to this individual provider in the NPPES registry on July 20, 2017.
Where is Jennifer Selby located?
Jennifer Selby practices at 105 Marys Ave, Kingston, NY 12401. The listed phone number is (845) 338-2500.
What is Jennifer Selby's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Jennifer Selby enrolled in Medicare?
Yes. Jennifer Selby is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jennifer Selby's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Selby reassigns Medicare benefits to Westchester Medical Center Advanced Physician Services PC (Valhalla, NY). The 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 Jennifer Selby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jennifer Selby was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Jennifer Nicole Selby, RN, AGACNP · NPI 1760905756
Acute Care physician in Kingston, New York. Individual provider, active in the CMS NPPES registry since July 20, 2017.
## Identity
- **NPI:** 1760905756 (Entity type: Individual)
- **Enumerated:** July 20, 2017
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 431159 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 105 MARYS AVE, Kingston, NY 12401-5829
- **Phone:** (845) 338-2500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Westchester Medical Center Advanced Physician Services PC (NPI 1740687458, Valhalla, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1760905756) · Data from the CMS NPPES public registry.