Individual provider Active NPI

Serena Michelle Pierson, MD

  • Obstetrics & Gynecology Physician
  • Springdale, AR
National Provider Identifier
1093945834
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
E-8057 Issued in AR
Practice address
4301 Greathouse Springs Rd
Suite 100
Springdale, AR 72762-0000
Phone
(479) 757-1730
Fax
(479) 521-5661
NPI assigned
Jul 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X E-8057 AR Primary

Addresses

Primary practice location

4301 Greathouse Springs Rd
Suite 100
Springdale, AR 72762-0000

Mailing address

4301 Great House Springs Rd. Ste 100
Springdale, AR 72762

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address serena.pierson.1@2229.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130910000449 AR Practitioner - Obstetrics/Gynecology 3779727912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Minnesota Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Physicians LLCGroup PAC ID 0244213213, 36 clinicians

Practice addresses (Care Compare)

4301 Greathouse Springs Rd
Springdale, AR 72762-8701
Phone (479) 684-3132

601 W Maple Ave
Springdale, AR 72764-5374

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.5 of 100Reported as apm
Quality
69.34
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-8057ARMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Physicians LLC CurrentSince Feb 1, 2017 Accepting new patients
Northwest Physicians LLC CurrentSince Feb 1, 2017 Accepting new patients
Northwest Benton County Physician Services LLC Past Accepting new patients

Locations

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000

601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742

Interoperability endpoints

  • Direct secure messaging: serena.pierson.1@2229.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1093945834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 GREAT HOUSE SPRINGS RD. STE 100",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "72762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 GREATHOUSE SPRINGS RD",
            "address_2": "SUITE 100",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620000",
            "telephone_number": "479-757-1730",
            "fax_number": "479-521-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERSON",
        "first_name": "SERENA",
        "middle_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "E-8057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "serena.pierson.1@2229.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "4301 Greathouse Springs Rd",
            "address_2": "Suite 100",
            "city": "Springdale",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727620000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.