Individual provider Active NPI

Jerry Serrano, ARNP

  • Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1497134977
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9181064 Issued in FL
Practice address
2316 Hillcrest St
Orlando, FL 32803-4900
Phone
(407) 228-2804
Fax
(407) 228-2806
NPI assigned
May 29, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9181064 FL Primary

Addresses

Primary practice location

2316 Hillcrest St
Orlando, FL 32803-4900

Mailing address

1507 S Hiawassee Rd
Ste 107
Orlando, FL 32835-5706
Phone (407) 228-2804

Other identifiers 2

IdentifierTypeStateIssuer
F0315470OtherFLAMERICAN ACADEMY OF NURSE PRACTITIONERS
ARNP9181064OtherFLARNP LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150904000978 FL Practitioner - Nurse Practitioner 4587970504 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Florida College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Med-Psych Consultants LLCGroup PAC ID 5799115713, 20 clinicians
Orlando Inpatient Medicine PAGroup PAC ID 0749598316, 54 clinicians

Practice addresses (Care Compare)

1507 S Hiawassee Rd
Suite 206
Orlando, FL 32835-5719
Phone 4074459545222

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 445-9545

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9181064FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Inpatient Medicine, PA CurrentSince Jan 10, 2017 Accepting new patients
Florida Med-Psych Consultants LLC CurrentSince Jan 27, 2020 Accepting new patients

Locations

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1507 S Hiawassee Rd
Ste 206
Orlando, FL 32835
Phone (407) 445-9545

1507 S Hiawassee Rd
Ste 107
Orlando, FL 32835
Phone (407) 445-9545

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 2

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": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1497134977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 S HIAWASSEE RD",
            "address_2": "STE 107",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355706",
            "telephone_number": "407-228-2804",
            "fax_number": "407-228-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 HILLCREST ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034900",
            "telephone_number": "407-228-2804",
            "fax_number": "407-228-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "JERRY",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-29",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9181064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
            "identifier": "F0315470",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP LICENSE",
            "identifier": "ARNP9181064",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.