Selene Ingraham, APRN - Medicare Nurse Practitioner in Provo, UT

Selene Ingraham, APRN is a medicare enrolled "Nurse Practitioner - Family" in Provo, Utah. She graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 1055 N 500 W, Ste 201 Bldg C, Provo, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 429-8000.

Selene Ingraham is licensed to practice in Utah (license number 8513908-4405) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1780577189.

Contact Information

Selene Ingraham, APRN
1055 N 500 W, Ste 201 Bldg C,
Provo, UT 84604
(801) 429-8000
(801) 429-8150

Map and Direction




Provider's Profile

Full NameSelene Ingraham
GenderFemale
SpecialityNurse Practitioner
Experience1 Years
Location1055 N 500 W, Provo, Utah
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Selene Ingraham graduated from nursing school in 2024
  NPI Data:
  • NPI Number: 1780577189
  • Provider Enumeration Date: 06/03/2025
  • Last Update Date: 06/20/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4385158815
  • Enrollment ID: I20250708002003

Medical Identifiers

Medical identifiers for Selene Ingraham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780577189NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 8513908-4405 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Selene Ingraham is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Selene Ingraham, APRN
1055 N 500 W, Attn Credentialing,
Provo, UT 84604

Ph: (801) 354-8225
Selene Ingraham, APRN
1055 N 500 W, Ste 201 Bldg C,
Provo, UT 84604

Ph: (801) 429-8000

Reviews and Comments


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Phone: 801-812-5033    Fax: 801-812-5034
Mr. Michael Frank Gibson, NP
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Crystal C Huffaker, FNP
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Practice Location: 1055 N 500 W, Ste 211, Building C, Provo, UT 84604
Phone: 801-357-7327    Fax: 801-375-8860
Connie Denise Taylor, NP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 75 S 200 E, Ste 100, Provo, UT 84606
Phone: 801-877-5801    Fax: 801-877-5802

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.