Individual provider Active NPI

Rachel Ortiz Serrano, PA-C

  • Physician Assistant
  • Cary, NC
National Provider Identifier
1043613839
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-05261 Issued in NC
Practice address
7560 Carpenter Fire Station Rd Ste 204
Cary, NC 27519-9637
Phone
(919) 439-4206
Fax
(919) 439-9375
NPI assigned
Oct 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0010-05261 NC
Physician Assistant 363A00000X 0010-05261 NC Primary

Addresses

Primary practice location

7560 Carpenter Fire Station Rd Ste 204
Cary, NC 27519-9637

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

242 S Main St Ste 212
Holly Springs, NC 27540-6054
Phone (919) 439-9423

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Rachel.Serrano@forefrontdermatology.emadirect.md
Direct Messaging Address Rachel.Serrano@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190118002690 NC Practitioner - Physician Assistant 5193062784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Duke University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

7560 Carpenter Fire Station Rd
Suite 204
Cary, NC 27519-9637
Phone (919) 439-4206

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Dec 1, 2023 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Dec 1, 2023 Accepting new patients
Sunshine Pediatrics, PA Past Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients
Moonlight Pediatric Urgent Care PA Past Accepting new patients
Forefront Dermatology, S.C. PastSince Dec 1, 2023 Accepting new patients

Locations

7560 Carpenter Fire Station Rd
Ste 204
Cary, NC 27519
Phone (919) 439-4206

2613 Hospital Rd
Goldsboro, NC 27534
Phone (919) 736-0222

242 S Main St
Ste 212
Holly Springs, NC 27540
Phone (919) 439-9423

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1043613839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7560 CARPENTER FIRE STATION RD STE 204",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275199637",
            "telephone_number": "919-439-4206",
            "fax_number": "919-439-9375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "242 S Main St Ste 212",
            "address_purpose": "LOCATION",
            "city": "Holly Springs",
            "state": "NC",
            "postal_code": "275406054",
            "country_code": "US",
            "telephone_number": "919-439-9423",
            "fax_number": "919-439-9533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "RACHEL",
        "middle_name": "ORTIZ",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-07",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-05261",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rachel.Serrano@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "242 S Main St Ste 212",
            "city": "Holly Springs",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275406054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rachel.Serrano@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "7560 Carpenter Fire Station Rd Ste 204",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275199637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.