Individual provider Active NPI

Serina Bourassa, CRNP

  • Family Nurse Practitioner
  • Vestavia, AL
National Provider Identifier
1316580962
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-141732 Issued in AL
Practice address
2868 Acton Rd
Vestavia, AL 35243-2502
Phone
(205) 332-3160
Fax
(866) 702-0880
NPI assigned
Oct 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 1-141732 AL
Family Nurse Practitioner 363LF0000X 1-141732 AL Primary

Addresses

Primary practice location

2868 Acton Rd
Vestavia, AL 35243-2502

Mailing address

2868 Acton Rd
Vestavia, AL 35243-2502
Phone (205) 332-3160

Other practice location 1

727 Memorial Dr
Bessemer, AL 35022-6029
Phone (205) 332-3160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20191216001356 AL Practitioner - Nurse Practitioner 3971937475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cypress Healthcare, LLCGroup PAC ID 8224206388, 14 clinicians

Practice addresses (Care Compare)

2868 Acton Rd
Vestavia, AL 35243-2502
Phone (205) 332-3160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-141732ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cypress Healthcare, LLC Physical Medicine & Rehabilitation CurrentSince Nov 1, 2019 Accepting new patients

Locations

727 Memorial Dr
Bessemer, AL 35022
Phone (205) 332-3160

2868 Acton Rd
Vestavia, AL 35243
Phone (205) 592-4222

Interoperability endpoints

  • Direct secure messaging: austinandthomas.serinabourassa@118741.advancedmd-direct.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1316580962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2868 ACTON RD",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432502",
            "telephone_number": "205-332-3160",
            "fax_number": "866-702-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2868 ACTON RD",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432502",
            "telephone_number": "205-332-3160",
            "fax_number": "866-702-0880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "727 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Bessemer",
            "state": "AL",
            "postal_code": "350226029",
            "country_code": "US",
            "telephone_number": "205-332-3160",
            "fax_number": "866-702-0880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOURASSA",
        "first_name": "SERINA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-25",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AL",
            "license": "1-141732",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-141732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

Verify at the official NPI Registry.