Sera Bobo, CRNP, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Jasper, AL
NPI 1619693249 · NPPES record last updated Dec 23, 2025
Key facts
- NPI
- 1619693249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F08221310 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Health Centers LLC
Sunshine Clinic
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
- Enhabit Home Health
- Walker Baptist Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221116000557 | AL | Practitioner - Nurse Practitioner | 3072981489 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-169327 | AL | MD | Family Nurse Practitioner |
| F08221310 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Centers, LLC | Current |
Accepting new patients | |
| Baptist Health Centers LLC | Current |
Accepting new patients | |
| Sunshine Clinic | Past |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F08221310 | AL | Yes |
| 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
Other providers in Jasper, AL
- Rebecca Black
- Jeremy Ty Blackwell
- Joy Blevins
- Angela Cato Blount
- Elisha Bobbitt
- Boshell Family Chiropractic, P.C.
- Constantina R Boshell
- Joshua Alexande Boshell
- Boswell Family Medicine
- Scott Hull Boswell
All providers in Jasper, AL · Family Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.