SELENA JOYCE ROGGEVEEN NP NPI 1134993041

NPI Information

  • NPI: 1134993041
  • Provider Name: SELENA JOYCE ROGGEVEEN, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11161 RANDOLPH ST
    CROWN POINT, IN
    ZIP 46307
  • Phone: (219) 662-9424

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NPI Details

Selena Joyce Roggeveen, NP is a family nurse practitioner in Crown Point, IN with 2 years of experience. Selena Joyce Roggeveen, NP NPI is 1134993041. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11161 RANDOLPH ST
CROWN POINT, IN
ZIP 46307-564
Phone: (219) 662-9424
Fax: (219) 662-7465

The NPI 1134993041 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/10/2023 and was last updated on 8/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse28161718AINDIANANo
2363LF0000XNurse PractitionerFamily71014849AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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