Hannah Kathryn Serra, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601006056 Issued in MI

Practice address

45300 Cherry Hill Rd
Canton, MI 48187-5073

Phone

(734) 981-3968

NPI assigned

Jul 26, 2011

Last updated

Sep 30, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: hanna.serra@2913.securemail.prognocis.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pain Clinic Management Group, PLLC

  • Interventional Pain Medicine Physician
  • Sterling Heights, MI
  • NPI 1225302821
  Medicare reassignment
• United Pain Therapies PLLC

  • Interventional Pain Medicine Physician
  • Canton, MI
  • NPI 1427483403
  NPD (past)
• Wellbridge of Clarkston, LLC

  • Skilled Nursing Facility
  • Independence Township, MI
  • NPI 1669965299
  NPD (past)

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1619255528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45300 CHERRY HILL RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481875073",
            "telephone_number": "734-981-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45300 CHERRY HILL RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481875073",
            "telephone_number": "734-981-3968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39350 9 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Northville",
            "state": "MI",
            "postal_code": "481679164",
            "country_code": "US",
            "telephone_number": "248-735-6081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39350 9 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Northville",
            "state": "MI",
            "postal_code": "481679164",
            "country_code": "US",
            "telephone_number": "248-735-6081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERRA",
        "first_name": "HANNAH",
        "middle_name": "KATHRYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senior Psychiatric Hospitalists of Mi, PLLC
• Madhavi K Sennerikuppam, M.D.
• Serene Synergistic Doula Services, LLC
• Serenity Day Spas
• Serenity Medi Spas
• Martha J Shadel, DO
• Erica Shafer
• Shaft Chiropractic Wellness Center
• Cynthia K Shaft, D.C.
• Kinjal Shah

• Physician Assistant in Canton, MI
• Providers in Canton, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.