Individual provider Active NPI

William Sera, ARNP

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1679747646
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
66190 Issued in NM
Practice address
7111 Prospect PL NE Ste D200
Albuquerque, NM 87110-4337
Phone
(505) 369-7200
Fax
(505) 796-6154
NPI assigned
Apr 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP2827282 FL
Family Nurse Practitioner 363LF0000X 2827282 FL
Family Nurse Practitioner 363LF0000X 66190 NM Primary

Addresses

Primary practice location

7111 Prospect PL NE Ste D200
Albuquerque, NM 87110-4337

Mailing address

7111 Prospect PL NE Ste D200
Albuquerque, NM 87110-4337
Phone (505) 369-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20220923000900 NM Practitioner - Nurse Practitioner 4587049705 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Albuquerque, NM 87110
Phone (305) 302-1805

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP2827282FLMDNurse Practitioner
2827282FLMDFamily Nurse Practitioner
66190NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Health Endocrinology Family CurrentSince Mar 26, 2025 Accepting new patients
Sage Specialty Care, Inc CurrentSince Aug 1, 2022 Accepting new patients

Locations

1209 Mountain Road Pl NE
Ste R
Albuquerque, NM 87110
Phone (505) 400-0978

7111 Prospect Pl NE
Albuquerque, NM 87110
Phone (505) 369-7200

7111 Prospect Pl NE
Ste D200
Albuquerque, NM 87110
Phone (505) 369-7200

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.

NPI Registry JSON

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

{
    "created_epoch": "1208736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1679747646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 PROSPECT PL NE STE D200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104337",
            "telephone_number": "505-369-7200",
            "fax_number": "505-796-6154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 PROSPECT PL NE STE D200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104337",
            "telephone_number": "505-369-7200",
            "fax_number": "505-796-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERA",
        "first_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-21",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2827282",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2827282",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "66190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.