Individual provider Active NPI

Allison Roper Serr, FNP-C

  • Family Nurse Practitioner
  • Rupert, ID
National Provider Identifier
1144933912
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
74805 Issued in ID
Practice address
1224 8TH St
Rupert, ID 83350-1599
Phone
(208) 436-0481
NPI assigned
Dec 26, 2022
Last updated
Feb 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 74805 ID Primary

Addresses

Primary practice location

1224 8TH St
Rupert, ID 83350-1599

Mailing address

1224 8TH St
Rupert, ID 83350-1599
Phone (208) 436-0481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20230310001749 ID Practitioner - Nurse Practitioner 3971771056 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minidoka Memorial Hospital Family Medicine CurrentSince Jun 15, 2023 Accepting new patients
Molina Care Connections, LLC. Nurse Practitioner CurrentSince Apr 10, 2023 Accepting new patients
Serr Chiropractic PLLC Current Accepting new patients
Minidoka Memorial Hospital CurrentSince Jun 15, 2023 Accepting new patients
Preventative Health Family PastSince Jan 1, 2023 Accepting new patients
Rupert Medical Center Partnership Family Medicine Past Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689

1224 8th St
Rupert, ID 83350
Phone (208) 434-8236

Interoperability endpoints

  • Direct secure messaging: aserr637635@direct.ochin.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1672012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1144933912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 8TH ST",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833501599",
            "telephone_number": "208-436-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 8TH ST",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833501599",
            "telephone_number": "208-436-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERR",
        "first_name": "ALLISON",
        "middle_name": "ROPER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-26",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "74805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rupert, ID

Sources for this page

Verify at the official NPI Registry.