JENNIFER NICOLE SELBY RN, AGACNP
NPI 1760905756
Nurse Practitioner - Acute Care in Kingston, NY

Q: 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.

Q: What is Jennifer Selby's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: 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 11 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.

Active since July 20, 2017PECOS Enrolled

105 MARYS AVE, KINGSTON, NY 12401(845) 338-2500 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 16, 2024, Jul 20, 2017 (2 updates tracked since 2017).

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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

NPI1760905756

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameJENNIFER NICOLE SELBYCredential: RN, AGACNP

Location Address105 MARYS AVEKingston, NY 12401-5829

Mailing Address45 Reade PlPoughkeepsie, NY 12601-3947 · (845) 454-8500

Phone(845) 338-2500

Sole ProprietorNo

Enumeration DateJuly 20, 2017

Last NPPES UpdateAugust 28, 20252 updates tracked since enumeration

NPPES CertifiedAugust 28, 2025

✔ NPI 1760905756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in NY · 431159

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 14790 (CT)

105 MARYS AVE, Kingston, NY 12401

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Secondary Practice Locations 3

Location 150 Hospital Hill RdSharon, CT 06069-2092 · Phone (860) 364-4000

Location 26511 Spring Brook AveRhinebeck, NY 12572-3709 · Phone (845) 876-3001

Location 345 Reade PlPoughkeepsie, NY 12601-3947 · Phone (845) 454-8500

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Nicole Selby Rn, Agacnp 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 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.

New Patient

$95.99 typical visit price

range $61.88 – $187.05

Typical copayment $23.99 (range $15.47 – $46.76)

Most-billed visit code 99203

Established Patient

$108.56 typical visit price

range $19.92 – $151.94

Typical copayment $27.14 (range $4.98 – $37.98)

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 20

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

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