Mary Serbin, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000023003 Issued in TN

Practice address

300 Boyd School Rd
Morristown, TN 37813-1401

Phone

(423) 587-3407

Fax

(423) 587-3405

NPI assigned

Oct 19, 2017

Last updated

Jun 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: mary.serbin.1@24739.direct.athenahealth.com

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

• Covenant Medical Group, Inc.

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1457302010
  Medicare reassignment NPD
• Mobile Wound Care Services - Southeast PC

  • Specialist
  • Mount Juliet, TN
  • NPI 1134914518
  Medicare reassignment NPD
• Regional Healthcare Group LLC

  • Acute Care Nurse Practitioner
  • Mount Juliet, TN
  • NPI 1407587363
  Medicare reassignment NPD
• US Diabetes Care and Surgical Specialty of Morristown TN

  • Family Medicine Physician
  • Morristown, TN
  • NPI 1427610211
  Medicare reassignment NPD
• US Diabetes Care of Morristown, LLC

  • Clinic/Center
  • Morristown, TN
  • NPI 1255995916
  Medicare reassignment NPD
• Covenant Medical Group, Inc

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
  • NPI 1871269415
  NPD

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1083125827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BOYD SCHOOL RD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378131401",
            "telephone_number": "423-587-3407",
            "fax_number": "423-587-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BOYD SCHOOL RD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378131401",
            "telephone_number": "423-587-3407",
            "fax_number": "423-587-3405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Watercrest St",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "TN",
            "postal_code": "378143837",
            "country_code": "US",
            "telephone_number": "423-581-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Watercrest St",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "TN",
            "postal_code": "378143837",
            "country_code": "US",
            "telephone_number": "423-581-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERBIN",
        "first_name": "MARY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000023003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q033915",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "serbin.mary@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "300 Boyd School Rd",
            "city": "Morristown",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378131401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Madison Ann Seay
• Lisa Ann Sebastian, RN
• Heather Paige Self, RN
• Robert D Self, DDS
• Chasity C Sellars, CCC-A
• Philip A. Serbin, M.D.
• Kimberly Meschelyn Setser, FNP
• Gregory S Sexton, D.D.S.
• Aashi Vrajesh Shah, PHARMD
• Harvena Brown Shannon

• Family Nurse Practitioner in Morristown, TN
• Providers in Morristown, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.