MITCHELL MARC SELCO D.O.
NPI 1962844225
Family Medicine in Jacksonville, FL

Q: What is Mitchell Selco's NPI number?

The NPI number for Mitchell Selco is 1962844225. It was assigned to this individual provider in the NPPES registry on July 26, 2013.

Q: What is Mitchell Selco's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mitchell Selco was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 26, 2013PECOS Enrolled

2080 CHILD ST, JACKSONVILLE, FL 32214(904) 542-7300 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 10, 2023, Aug 19, 2022 (2 updates tracked since 2022).

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About Mitchell Marc Selco D.o. NPPES

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

MITCHELL MARC SELCO D.O. (NPI 1962844225) is an individual family medicine provider in Jacksonville, Florida, licensed in California (20A13870) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1962844225

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMITCHELL MARC SELCOCredential: D.O.

Location Address2080 CHILD STJacksonville, FL 32214-5005

Mailing AddressDepartment Of The Navy Commanding Officer/credentials, 2080 Child Street Box 1000Jacksonville, FL 32214 · (904) 542-7300

Phone(904) 542-7300

Sole ProprietorYes

Enumeration DateJuly 26, 2013

Last NPPES UpdateApril 24, 20252 updates tracked since enumeration

NPPES CertifiedApril 24, 2025

✔ NPI 1962844225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · 20A13870

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2080 CHILD ST, Jacksonville, FL 32214

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Secondary Practice Location 1

Location 1PO Box 44008Jacksonville, FL 32231-4008 · Phone (904) 244-3131

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mitchell Marc Selco D.o. 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 32214 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

MR. STEVEN LEE UNDHEIM IDC

Military Health Care Provider (Independent Duty Corpsman)