JOSHUA JACKSON SELLY (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1205594579

JOSHUA JACKSON SELLY (NP) is a healthcare provider. based in Worcester, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN2303725 (MA). The NPI Number for JOSHUA JACKSON SELLY (NP) is 1205594579

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
JOSHUA JACKSON SELLY (NP)
NPI
1205594579
Phone
(508) 736-3326
Address
285 PLANTATION ST APT 627
Enumeration Date
3 December 2021
Last Update Date
3 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4016487172
Graduation Year
2021 (5 years ago)
PAC ID
5890210835
Group Practice PAC ID
7113302282
Professional Enrollment ID
I20250422003056
Address ID
RI029045700PR845XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for JOSHUA JACKSON SELLY (NP)

  • 285 PLANTATION ST APT 627

    WORCESTER, MA 016047715

    Phone: (508) 736-3326

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $110.

Total Amount is formed as General ($110) + Research ($0) + Ownership ($0) = $110.

Last reported payment date: 2024-07-20 • Largest payer in this snapshot: ABBVIE INC. ($84).

Total Amount

$110

General + Research + Ownership

Payments

4

Total payment records

General Amount

$110

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-04-22

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
I20250422003056INurse PractitionerRITBD

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 01604)

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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: 7113302282View full group profile
NameSpecialtyState
Mental Health CounselorNY
Nurse PractitionerMS
Nurse PractitionerRI
Clinical Social WorkerRI
Nurse PractitionerRI
Clinical PsychologistMD
Nurse PractitionerMA

Reviews

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Frequently asked questions

What identifier follows JOSHUA JACKSON SELLY (NP) across health systems?
The NPI 1205594579 uniquely identifies JOSHUA JACKSON SELLY (NP) in U.S. healthcare data.
Does the public listing show JOSHUA JACKSON SELLY (NP) as active?
JOSHUA JACKSON SELLY (NP)'s NPI record reflects an active status in NPPES.
What type of care does JOSHUA JACKSON SELLY (NP) provide?
JOSHUA JACKSON SELLY (NP)'s profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit JOSHUA JACKSON SELLY (NP) in Worcester, Massachusetts?
For routing, start with Worcester, Massachusetts for JOSHUA JACKSON SELLY (NP), then verify phone and hours locally.
Can I export JOSHUA JACKSON SELLY (NP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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