Individual provider Active NPI

Martha Serrano, FNP

  • Family Nurse Practitioner
  • Greenville, NC
National Provider Identifier
1639972805
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5021921 Issued in NC
Practice address
275 Bethesda Dr
Greenville, NC 27834-7217
Phone
(252) 752-5077
Fax
(252) 752-9544
NPI assigned
Mar 31, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Registered Nurse 163WU0100X 172941 NC
Registered Nurse 163W00000X 172941 NC
Family Nurse Practitioner 363LF0000X 5021921 NC Primary

Addresses

Primary practice location

275 Bethesda Dr
Greenville, NC 27834-7217

Mailing address

3102 Marlowe Rd N
Wilson, NC 27896-8921
Phone (252) 315-2576

Other practice location 1

3724 Raleigh Road Pkwy W
Wilson, NC 27896-9742
Phone (252) 246-8840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250627000237 NC Practitioner - Nurse Practitioner 6406369164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

101 Clinic Dr
Tarboro, NC 27886-1935
Phone (252) 823-2105

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-1757

275 Bethesda Dr
Greenville, NC 27834-7217
Phone (252) 752-5077

3724 Raleigh Rd Pkwy W
Wilson, NC 27896-9742
Phone (252) 246-8840

401 A N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941

401 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941

417 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-8080

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
172941NCMDUrology Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Jun 4, 2025 Accepting new patients
Vidant Medical Group LLC CurrentSince Jun 4, 2025 Accepting new patients

Locations

275 Bethesda Dr
Greenville, NC 27834
Phone (252) 752-5077

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

3724 Raleigh Road Pkwy W
Wilson, NC 27896
Phone (252) 246-8840

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": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1639972805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 MARLOWE RD N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278968921",
            "telephone_number": "252-315-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 BETHESDA DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347217",
            "telephone_number": "252-752-5077",
            "fax_number": "252-752-9544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3724 Raleigh Road Pkwy W",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "NC",
            "postal_code": "278969742",
            "country_code": "US",
            "telephone_number": "252-246-8840",
            "fax_number": "252-246-8842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "MARTHA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WU0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Urology",
            "state": "NC",
            "license": "172941",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "172941",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5021921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.