Active NPI
Serena Duncan, FNP
- Family Nurse Practitioner
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F10170028
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| F10170028 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amble Medical | Family | Current | Accepting new patients |
| Innovative Wound Solutions, LLC | Current | Accepting new patients | |
| Alante Primary Care W LLC | Current | Accepting new patients | |
| Amble Medical | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients | |
| Jarvis Tzeng, DO, P.a. | Current | Accepting new patients | |
| Alante Primary Care and Palliative Services LLC | Current | 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
- 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.
-
- Primary Care Clinic/Center
- Scottsdale, AZ
- NPI 1700468527
AZ
-
- Primary Care Clinic/Center
- Scottsdale, AZ
- NPI 1568279792
-
- Podiatrist
- Mesquite, NV
- NPI 1982496253
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1912618687
-
- Family Medicine Physician
- Litchfield Park, AZ
- NPI 1457978967
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
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.