Selah Wellness Clinic LLC
NPI 1104513126 · Nurse Practitioner · Pine City, MN
Selah Wellness Clinic LLC is a Nurse Practitioner organization in Pine City, MN (NPI 1104513126).
Provider details
- NPI number
- 1104513126
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Tina Keller, Vp Compliance(320) 372-2323
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-04-19
- Last updated
- 2026-05-31
- Certified
- 2026-05-31
Frequently asked questions
- What is Selah Wellness Clinic LLC's NPI number?
- Selah Wellness Clinic LLC's National Provider Identifier (NPI) is 1104513126, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Selah Wellness Clinic LLC?
- Selah Wellness Clinic LLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Selah Wellness Clinic LLC located?
- Selah Wellness Clinic LLC's practice location on file with NPPES is 1300 Northridge Ct Nw, Pine City, MN 55063-5821.
- What is Selah Wellness Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Selah Wellness Clinic LLC is (320) 372-2323.
- Who is the authorized official for Selah Wellness Clinic LLC?
- The authorized official listed on Selah Wellness Clinic LLC's NPPES record is Tina Keller, Vp Compliance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Selah Wellness Clinic LLC's NPI active?
- Yes — Selah Wellness Clinic LLC's NPI (1104513126) is active in the NPPES registry as of the last update on 2026-05-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.