Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Selam B Shah, FNP-C

Individual provider Family Nurse Practitioner · NPI 1407692775

Selam B Shah, FNP-C is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2024, 2 years ago. Practices with Minuteclinic Diagnostic of Massachusetts, LLC, a 105-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
2
Licensed in
MA
In the registry since
2024
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

801 Massachusetts Ave
Boston, MA 02118-2605
Phone: (617) 414-5951
Fax: (617) 414-9201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 222 Main St, Wilmington, MA 01887-2341 — (978) 658-3377

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN2372400 (MA)
Registered Nurse Taxonomy 163W00000X · Licence RN2372400 (MA)

Record details

NPI number1407692775
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJuly 5, 2024
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Minuteclinic Diagnostic Of Massachusetts, Llc — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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