MRS. SELENA SACKROOLAR (APN) – Acute Care Nurse Practitioner, NPI 1972152080
Acute Care Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
7,508 NURSE PRACTITIONER in NJ
Provider Addresses for MRS. SELENA SACKROOLAR (APN)
3131 Princeton Pike
Bldg 5, Suite 200
Lawrenceville, NJ 08648
Phone: (609) 656-8838
Fax: (609) 815-7788
Type: Location
3131 PRINCETON PIKE STE 208
LAWRENCEVILLE, NJ 086482201
Phone: (609) 815-7829
Type: Mailing
Capital Health Regional Medical Center, 750, Brunswick Avenue, Trenton, Mercer County, New Jersey, 08629, United States
TRENTON, NJ 086384143
Phone: (609) 394-6000
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: 2019-11-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191105000021 | I | Nurse Practitioner | NJ | TBD |
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.
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 08648)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Geriatric Medicine | NJ | |
| Nurse Practitioner | NJ |
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