SHALEECE SELDEN – Psychiatric/Mental Health Nurse Practitioner, NPI 1184191686

SHALEECE SELDEN is a healthcare provider. based in Hyde park, Massachusetts. specializing in NURSE PRACTITIONER. They hold a License No. RN2359779 (MA). The NPI Number for SHALEECE SELDEN is 1184191686

Main info

Female
3 Years Of Experience
Name
SHALEECE SELDEN
NPI
1184191686
Phone
(617) 320-7641
Address
695 Truman Hwy
Enumeration Date
1 November 2018
Last Update Date
4 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5088607800
Graduation Year
2023 (3 years ago)
PAC ID
6406389311
Group Practice PAC ID
4789670985
Professional Enrollment ID
I20241031000260
Address ID
MA016102473WO26XXXSTXX300
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:7State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for SHALEECE SELDEN

  • 695 Truman Hwy

    Hyde Park, MA 021363552

    Phone: (617) 320-7641

    Type: Location

  • 695 TRUMAN HWY

    HYDE PARK, MA 021363552

    Phone: (617) 320-7641

    Type: Location

  • 26 QUEEN STREET

    WORCESTER, MA 016102473

    Phone: (508) 860-7800

    Fax: (508) 661-3046

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241031000260INurse PractitionerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02136)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789670985View full group profile
NameSpecialtyState
Nurse PractitionerMA
-MA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Family PracticeMA
Clinical Social WorkerMA
Family PracticeMA
Nurse PractitionerMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

What is the standard ID for SHALEECE SELDEN in the U.S.?
In the U.S., SHALEECE SELDEN is identified by NPI 1184191686.
Is SHALEECE SELDEN currently accepting referrals based on NPI status?
Registry metadata lists SHALEECE SELDEN as active.
What services align with SHALEECE SELDEN's listing?
SHALEECE SELDEN's public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to SHALEECE SELDEN?
SHALEECE SELDEN shows a connection to Hyde Park, Massachusetts in registry-derived data.
Who maintains SHALEECE SELDEN's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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