Katrina Lea Selsor, NP - Medicare Nurse Practitioner in Sparta, MO

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Katrina Lea Selsor, NP is a medicare enrolled "Nurse Practitioner - Primary Care" in Sparta, Missouri. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sgoh Acquisition Inc and her current practice location is 155 Village Dr, Sparta, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 634-4203.

Katrina Lea Selsor is licensed to practice in Missouri (license number 2018000302) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073020673.

Contact Information

Katrina Lea Selsor, NP
155 Village Dr,
Sparta, MO 65753-8104
(417) 634-4203
(417) 634-4505

Map and Direction




Provider's Profile

Full NameKatrina Lea Selsor
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location155 Village Dr, Sparta, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Katrina Lea Selsor graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1073020673
  • Provider Enumeration Date: 01/04/2018
  • Last Update Date: 10/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8820357320
  • Enrollment ID: I20180108002431

Medical Identifiers

Medical identifiers for Katrina Lea Selsor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073020673NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 2018000302 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ozarks Community Hospital Of GravetteGravette, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sgoh Acquisition Inc509261627672

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Katrina Lea Selsor allows following entities to bill medicare on her behalf.
Entity NameSgoh Acquisition Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114924768
PECOS PAC ID: 5092616276
Enrollment ID: O20040205000647

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katrina Lea Selsor is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Katrina Lea Selsor, NP
2183 Johnson Rd,
Sparta, MO 65753-8813

Ph: (417) 880-2505		Katrina Lea Selsor, NP
155 Village Dr,
Sparta, MO 65753-8104

Ph: (417) 634-4203

Reviews and Comments


Nurse Practitioner Nurses in Sparta, MO

Tara N Loveland, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 155 Village Dr, Sparta, MO 65753
Phone: 417-634-4203    Fax: 417-634-4505
Taylor Lauren Heath, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 155 Village Dr, Sparta, MO 65753
Phone: 417-634-4203    
Bryan L. Logan, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 155 Village Drive, Sparta, MO 65673
Phone: 417-634-4203    Fax: 417-634-4505

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.