Jeremy Ryan Serreyn, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

20212012603 Issued in MO

Practice address

2301 Holmes St
Kansas City, MO 64108-2640

Phone

(816) 404-1000

NPI assigned

Mar 26, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AK, TX, MN3 enrollments

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 3

Specialty

Emergency Medicine

Education

Kansas City University of Med & Biosciences, College of Osteo Med, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• South Peninsula Hospital Hospital, Homer, AK, CCN 021313
• Fairview Northland Regional Hospital Hospital, Princeton, MN, CCN 240141

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

97.98

Improvement activities

40

Cost

82.67

Merit-based Incentive Payment System (MIPS)

Final score

75.44 of 100Reported as group

Quality

62.56

Promoting interoperability

81

Improvement activities

40

Cost

67.88

Merit-based Incentive Payment System (MIPS)

Final score

70.59 of 100Reported as group

Quality

83.37

Promoting interoperability

100

Improvement activities

40

Cost

16.65

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/sphosp-0c203fcf
• Direct secure messaging: jserreyn3192509@ak.providencedirect.org

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.

• Bristol Bay Area Health Corporation

  • Clinic/Center
  • Aleknagik North, AK
  • NPI 1235291246

  Single Specialty, TX

  Medicare reassignment NPD
• Central Peninsula General Hospital Inc.

  dba Central Peninsula Hospital

  • Rural Acute Care Hospital
  • Soldotna, AK
  • NPI 1528062429

  Single Specialty

  Medicare reassignment NPD
• South Peninsula Hospital, Inc

  • Critical Access Hospital
  • Homer, AK
  • NPI 1093968372
  Medicare reassignment NPD
• Alomere Health

  • General Acute Care Hospital
  • Alexandria, MN
  • NPI 1558236091
  Medicare reassignment
• Fairview Health Services

  • Emergency Medicine Physician
  • Minneapolis, MN
  • NPI 1811077175
  Medicare reassignment
• Bristol Bay Area Health Corporation

  • Medicare Defined Swing Bed Hospital Unit
  • Dillingham, AK
  • NPI 1770645202
  NPD
• Bristol Bay Area Health Corporation

  • Air Ambulance
  • Dillingham, AK
  • NPI 1992867238
  NPD
• Central Peninsula General Hospital, Inc

  dba Central Peninsula Gastroenterology

  • Gastroenterology Physician
  • Soldotna, AK
  • NPI 1154194819

  Single Specialty

  NPD
• Central Peninsula General Hospital, Inc

  dba Central Peninsula Mental Wellness

  • Psychiatry Physician
  • Soldotna, AK
  • NPI 1518741362

  Single Specialty

  NPD
• North Star Medical Imaging PLLC

  • Diagnostic Radiology Physician
  • Mount Vernon, WA
  • NPI 1144489824

  Single Specialty

  NPD
• South Peninsula Hospital, Inc

  • Home Health Agency
  • Homer, AK
  • NPI 1164400750
  NPD

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

• Fairview Health Services

  dba Fairview Diagnostic Laboratory

  • General Acute Care Hospital
  • Princeton, MN
  • NPI 1841351749
  Care Compare affiliation
• Fairview Health Services

  dba Fairview Northland Hospital

  • General Acute Care Hospital
  • Princeton, MN
  • NPI 1922085299
  Care Compare affiliation
• South Peninsula Hospital, Inc

  • Critical Access Hospital
  • Homer, AK
  • NPI 1093968372
  Care Compare affiliation

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1194286880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 HOLMES ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082640",
            "telephone_number": "816-404-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 HOLMES ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082640",
            "telephone_number": "816-404-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Hospital Pl",
            "address_purpose": "LOCATION",
            "city": "Soldotna",
            "state": "AK",
            "postal_code": "996696999",
            "country_code": "US",
            "telephone_number": "907-714-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERREYN",
        "first_name": "JEREMY",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AK",
            "license": "196498",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "20212012603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1735632",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jserreyn3192509@ak.providencedirect.org",
            "affiliation": "Y",
            "endpointDescription": "Provider Direct messaging address",
            "affiliationName": "Central Peninsula General Hospital Inc.",
            "address_1": "250 Hospital Pl",
            "city": "Soldotna",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996696999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Serc Rehabilitation Partners, LLC (Serc)
• Serenity Chiropractic, LLC
• Alexandria Nicole Serig, MSN, CPNP-AC
• Michelle Lynn Serra, LPC. NCC, RPT-S
• Jennifer Serrano
• Larissa Lacey-Mae Server
• Penny Sesher, PTA
• Adriana Sessions
• Jordan R Sessions, D.O.
• Seth Rush, D.D.S., M.S., L.L.C.

• Emergency Medicine Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Emergency Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.