Individual provider Active NPI

Sera Bobo, CRNP, FNP-C

  • Family Nurse Practitioner
  • Jasper, AL
National Provider Identifier
1619693249
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F08221310 Issued in AL
Practice address
3600 Highway 78 E Ste 108
Jasper, AL 35501-8968
Phone
(205) 265-3076
Fax
(205) 265-2235
NPI assigned
Oct 14, 2022
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F08221310 AL Primary
Family Nurse Practitioner 363LF0000X 1-169327 AL

Addresses

Primary practice location

3600 Highway 78 E Ste 108
Jasper, AL 35501-8968

Mailing address

4330 Highway 78 E Ste 105
Jasper, AL 35501-8955
Phone (205) 265-3076

Other practice location 1

2201 N Airport Rd
Jasper, AL 35504-7058
Phone (205) 221-9351

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
I20221116000557 AL Practitioner - Nurse Practitioner 3072981489 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians
Sunshine ClinicGroup PAC ID 5496140220, 3 clinicians

Practice addresses (Care Compare)

2201 N Airport Rd
Jasper, AL 35504-7058
Phone (205) 221-9351

4330 Hwy 78 E
Suite 105
Jasper, AL 35501-8955
Phone (205) 365-3076

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F08221310ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Centers, LLC CurrentSince Dec 23, 2025 Accepting new patients
Baptist Health Centers LLC CurrentSince Dec 23, 2025 Accepting new patients
Sunshine Clinic PastSince Apr 9, 2023 Accepting new patients

Locations

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

2201 N Airport Rd
Jasper, AL 35504
Phone (205) 221-9351

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1665705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1619693249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 HIGHWAY 78 E STE 105",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018955",
            "telephone_number": "205-265-3076",
            "fax_number": "205-265-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 HIGHWAY 78 E STE 108",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018968",
            "telephone_number": "205-265-3076",
            "fax_number": "205-265-2235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 N Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "AL",
            "postal_code": "355047058",
            "country_code": "US",
            "telephone_number": "205-221-9351",
            "fax_number": "205-221-4353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOBO",
        "first_name": "SERA",
        "credential": "CRNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-14",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F08221310",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-169327",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

Verify at the official NPI Registry.