| Selena Joyce Roggeveen, NP | |
|
11161 Randolph St, Crown Point, IN 46307-8564 | |
| (219) 662-9424 | |
| (219) 662-7465 |
| Full Name | Selena Joyce Roggeveen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 11161 Randolph St, Crown Point, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134993041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 28161718A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71014849A (Indiana) | Primary |
| Entity Name | Nwi Urgent Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043596703 PECOS PAC ID: 7618142977 Enrollment ID: O20111214000990 |
| Mailing Address | Practice Location Address |
|---|---|
| Selena Joyce Roggeveen, NP Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Selena Joyce Roggeveen, NP 11161 Randolph St, Crown Point, IN 46307-8564 Ph: (219) 662-9424 |
Nichole Elaine Roberts, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9470 Broadway, Crown Point, IN 46307 Phone: 219-661-3260 Fax: 219-662-3770 | |
James Brown, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 N Main St Ste 304, Crown Point, IN 46307 Phone: 574-546-1900 Fax: 574-546-1999 | |
Mrs. Lydia C Buyco, ADULT NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9330 South Broadway Blvd, Crown Point, IN 46307 Phone: 219-662-5072 | |
Faith A Ornelas, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2050 N Main St Ste C, Crown Point, IN 46307 Phone: 219-662-3300 Fax: 219-662-3301 | |
Anita D Arthur, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2100 N Main St Ste 304, Crown Point, IN 46307 Phone: 574-546-1900 Fax: 574-546-1999 | |
Mrs. Josefina Estrada Offredo, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9330 South Broadway Blvd, Crown Point, IN 46307 Phone: 219-662-5072 | |
Jennifer Lee Virgl, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12750 St Francis Dr, Crown Point, IN 46307 Phone: 219-757-6121 Fax: 219-681-6897 |