Individual provider Active NPI

Jose A Serio, FNP

  • Family Nurse Practitioner
  • Natchez, MS
National Provider Identifier
1265443063
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R851134 Issued in MS
Practice address
307 Highland Blvd
Natchez, MS 39120-4610
Phone
(601) 392-1672
Fax
(601) 653-0352
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R851134 MS
Internal Medicine Physician 207R00000X R851134 MS
Family Nurse Practitioner 363LF0000X R851134 MS Primary

Addresses

Primary practice location

307 Highland Blvd
Natchez, MS 39120-4610

Mailing address

307 Highland Blvd
Natchez, MS 39120-4610
Phone (601) 392-0404

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address records@natchez-family-medicine.direct.kno2fy.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20040617001328 MS Practitioner - Nurse Practitioner 1355325150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

307 Highland Blvd
Natchez, MS 39120-4610
Phone (601) 392-0404

Hospital & facility affiliations

  • Deaconess Homecare-Region I I Home health agency, Brookhaven, MS, CCN 257135
  • Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson Home health agency, Clinton, MS, CCN 257102
  • Merit Health Natchez Hospital, Natchez, MS, CCN 250084
  • Riverland Medical Center Hospital, Ferriday, LA, CCN 191318

Merit-based Incentive Payment System (MIPS)

Final score
83.81 of 100Reported as individual
Quality
70.73
Improvement activities
40
Cost
85.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R851134MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Natchez, P.a. PastSince Apr 1, 2020 Accepting new patients

Organizations & group practices 2

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 4

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1265443063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 HIGHLAND BLVD",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204610",
            "telephone_number": "601-392-0404",
            "fax_number": "601-653-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 HIGHLAND BLVD",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204610",
            "telephone_number": "601-392-1672",
            "fax_number": "601-653-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERIO",
        "first_name": "JOSE",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "R851134",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "R851134",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R851134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "records@natchez-family-medicine.direct.kno2fy.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pdf",
            "address_1": "307 Highland Blvd",
            "city": "Natchez",
            "state": "MS",
            "country_code": "US",
            "postal_code": "391204610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Natchez, MS

Sources for this page

Verify at the official NPI Registry.