Individual provider Active NPI

Serwa Guirand

  • Family Nurse Practitioner
  • Pittsfield, MA
National Provider Identifier
1366834574
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2314689 Issued in MA
Practice address
169 Valentine Rd
Pittsfield, MA 01201-3042
Phone
(413) 445-2300
NPI assigned
Feb 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 690247 NY
Family Nurse Practitioner 363LF0000X RN2314689 MA Primary

Addresses

Primary practice location

169 Valentine Rd
Pittsfield, MA 01201-3042

Mailing address

6103 Romaine Rd
Cohoes, NY 12047-5408
Phone (631) 408-8487

Other practice location 1

263 Blue Point Ave
Blue Point, NY 11715-1224
Phone (631) 419-6737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20210121001112 MA Practitioner - Nurse Practitioner 1658785324 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suburban Internal Medicine, Inc.Group PAC ID 0547203929, 14 clinicians
Suburban PaltcGroup PAC ID 4880134824, 12 clinicians

Practice addresses (Care Compare)

710 Stockbridge Rd
Lee, MA 01238-9316
Phone (413) 243-0122

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
690247NYMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Hospital CurrentSince Dec 10, 2020 Accepting new patients
Suburban Paltc CurrentSince Apr 1, 2025 Accepting new patients
Suburban Internal Medicine, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Berkshire Faculty Services Inc CurrentSince Dec 10, 2020 Accepting new patients

Locations

780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498

710 Stockbridge Rd
Lee, MA 01238
Phone (413) 243-0122

169 Valentine Rd
Pittsfield, MA 01201
Phone (413) 445-2300

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

Interoperability endpoints

  • Direct secure messaging: serwaguirand@bfs.medalliesdirect.net

Organizations & group practices 4

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 1

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": "1424822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1366834574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6103 ROMAINE RD",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "120475408",
            "telephone_number": "631-408-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 VALENTINE RD",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012013042",
            "telephone_number": "413-445-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "263 Blue Point Ave",
            "address_purpose": "LOCATION",
            "city": "Blue Point",
            "state": "NY",
            "postal_code": "117151224",
            "country_code": "US",
            "telephone_number": "631-419-6737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUIRAND",
        "first_name": "SERWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-25",
        "last_updated": "2021-03-22",
        "certification_date": "2020-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "690247",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2314689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.