SELINA A JEANISE (DO) – Emergency Medicine Physician, NPI 1679885644

SELINA A JEANISE (DO) is a healthcare provider. based in Roby, Missouri. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. S7075 (TX). The NPI Number for SELINA A JEANISE (DO) is 1679885644

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
SELINA A JEANISE (DO)
NPI
1679885644
Phone
(936) 676-9575
Address
12496 BELL RD
Enumeration Date
7 July 2010
Last Update Date
5 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9366378567
Graduation Year
2010 (16 years ago)
PAC ID
5092030973
Group Practice PAC ID
5395973564
Professional Enrollment ID
I20200629002763
Address ID
TX759043120LU505XXDRXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:15State licenses:3Digital endpointsOther names

1,351 EMERGENCY MEDICINE in MO

Provider Addresses for SELINA A JEANISE (DO)

  • 12496 BELL RD

    ROBY, MO 655578705

    Phone: (936) 676-9575

    Type: Mailing

  • 1333 S SAM HOUSTON BLVD

    HOUSTON, MO 654832046

    Phone: (417) 967-5435

    Type: Location

  • 5325 Faraon St

    Saint Joseph, MO 645063488

    Phone: (816) 271-6122

    Fax: (816) 271-6019

    Type: Location

  • 4430 Missouri Ave

    Fort Leonard Wood, MO 65473

    Phone: (573) 596-0456

    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: 2020-06-29

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
I20200629002763IEmergency MedicineTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making292267$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only174157$0
99284Emergency department visit with moderate level of medical decision making9693$0
99291Critical care, first 30-74 minutes6060$0
99292Critical care, each additional 30 minutes1514$0
View full utilization report →

Insurance plans in this area (ZIP 65557)

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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: 5395973564View full group profile
NameSpecialtyState
Nurse PractitionerTX
-TX
Emergency MedicineTX
Emergency Medicine, Family PracticeLA
Nurse PractitionerTX
Emergency MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
Emergency Medicine, Family PracticeAR
Emergency MedicineTX

Reviews

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Frequently asked questions

What unique ID ties claims to SELINA A JEANISE (DO)?
NPI 1679885644 is assigned to SELINA A JEANISE (DO) under the national enumeration system.
Is SELINA A JEANISE (DO)'s NPI currently valid?
The extract we use shows SELINA A JEANISE (DO) as active.
What kind of provider is SELINA A JEANISE (DO)?
The page reflects Emergency Medicine Physician for SELINA A JEANISE (DO). Clinical services aligned with this taxonomy classification.
Where is SELINA A JEANISE (DO)'s primary listing?
We display Roby, Missouri because that is what the record indicates for SELINA A JEANISE (DO).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.