Martha Ellen Serven, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA10001727 Issued in WA

Practice address

3015 Squalicum Pkwy
Ste 180
Bellingham, WA 98225-1945

Phone

(360) 733-5733

Fax

(360) 733-1859

NPI assigned

Mar 15, 2006

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

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Physician Assistant

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bellingham Asthma Allergy Immunology Clinic PSGroup PAC ID 6103810304, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.6 of 100Reported as group

Promoting interoperability

96

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: marthaserven@baaicps.allscriptsdirect.net

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.

• Bellingham Asthma Allergy Immunology Clinic PS

  • Allergy & Immunology Physician
  • Bellingham, WA
  • NPI 1174672281
  Medicare reassignment Care Compare group
• Pacific Rim Headache Center

  • Physician Assistant
  • Anacortes, WA
  • NPI 1174822159
  NPD (past)

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1144299850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 SQUALICUM PKWY",
            "address_2": "STE 180",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251946",
            "telephone_number": "360-733-5733",
            "fax_number": "360-733-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 SQUALICUM PKWY",
            "address_2": "STE 180",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251945",
            "telephone_number": "360-733-5733",
            "fax_number": "360-733-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERVEN",
        "first_name": "MARTHA",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10001727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7110646",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erik Joel Senuty, RPH
• Paul Andrew Senuty, RPH
• Jaesung Seo, DDS
• David Doran Seraj, DMD
• Charity Serdahl, LMP
• Raquel Setterlund
• Amee Severson, RD
• Shannon Marie Sexton
• Samina Shabnam, M.B.B.S.
• Jami K Shaffer, PHARM.D.

• Medical Physician Assistant in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.