Individual provider Active NPI

Serena Duncan, FNP

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1306357397
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10170028 Issued in AZ
Practice address
5111 N Scottsdale Rd
Scottsdale, AZ 85250-7075
Phone
(480) 777-5117
NPI assigned
Oct 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 F10170028 AZ Primary

Addresses

Primary practice location

5111 N Scottsdale Rd
Scottsdale, AZ 85250-7075

Mailing address

4926 N 85TH St
Scottsdale, AZ 85251-1803

Other practice location 1

4926 N 85th St
Scottsdale, AZ 85251-1803
Phone (602) 790-9228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20171204001540 AZ Practitioner - Nurse Practitioner 7517224306 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F10170028AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amble Medical Family CurrentSince May 7, 2024 Accepting new patients
Innovative Wound Solutions, LLC CurrentSince Mar 1, 2025 Accepting new patients
Alante Primary Care W LLC CurrentSince Dec 15, 2024 Accepting new patients
Amble Medical CurrentSince May 7, 2024 Accepting new patients
Signify Health, LLC CurrentSince Mar 16, 2025 Accepting new patients
Jarvis Tzeng, DO, P.a. CurrentSince Dec 30, 2024 Accepting new patients
Alante Primary Care and Palliative Services LLC CurrentSince Aug 1, 2024 Accepting new patients
Az Skin Sub LLC Past Accepting new patients
Novellus Health LLC Past Accepting new patients

Locations

350 E La Canada Blvd
Avondale, AZ 85323
Phone (540) 818-5752

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

825 S 94th St
Chandler, AZ 85224
Phone (480) 361-6636

5358 E Baseline Rd
Mesa, AZ 85206
Phone (480) 630-3005

10210 N 92nd St
Ste 104
Scottsdale, AZ 85258
Phone (480) 493-0900

17490 N 93rd St
Scottsdale, AZ 85255
Phone (480) 588-5386

8502 E Princess Dr
Ste 200E
Scottsdale, AZ 85255
Phone (480) 631-4978

428 Childers St
Pensacola, FL 32534
Phone (540) 818-5752

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

9980 S 300 W
Ste 310
Sandy, UT 84070
Phone 8012536886300

Interoperability endpoints

  • Direct secure messaging: serena.duncan.1@31166.direct.athenahealth.com

Organizations & group practices 9

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Wound Solutions LLC 23 clinicians

Practice addresses (Care Compare)

10210 N 92ND St
Suite 104
Scottsdale, AZ 85258-4531
Phone (480) 493-0900

NPI Registry JSON

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1306357397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4926 N 85TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852511803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 N SCOTTSDALE RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852507075",
            "telephone_number": "480-777-5117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4926 N 85th St",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852511803",
            "country_code": "US",
            "telephone_number": "602-790-9228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "SERENA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "F10170028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.