Organization Active NPI

Sere Path Wellness Center LLC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Coon Rapids, MN
National Provider Identifier
1780556233
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
Legal business name
SERE PATH WELLNESS CENTER LLC
Practice address
277 Coon Rapids Blvd NW Ste 414
Coon Rapids, MN 55433-5865
Phone
(612) 447-4747
Fax
(612) 688-7880
NPI assigned
Sep 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Yashmin Nagujja, APRN PMHNP-BCNPI 1972173961
Title
Owner
Phone
(612) 447-4747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SP0809X Primary

Addresses

Primary practice location

277 Coon Rapids Blvd NW Ste 414
Coon Rapids, MN 55433-5865

Mailing address

277 Coon Rapids Blvd NW Ste 414
Coon Rapids, MN 55433-5865
Phone (612) 447-4747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260416002834 MN Part B Supplier - Clinic/Group Practice 7719453851 Receives reassigned benefits from 1 practitioner
Practice locations: Coon Rapids, MN

National Provider Directory

National Provider Directory

Locations

277 Coon Rapids Blvd NW
Coon Rapids, MN 55433

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1780556233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 COON RAPIDS BLVD NW STE 414",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554335865",
            "telephone_number": "612-447-4747",
            "fax_number": "612-688-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 COON RAPIDS BLVD NW STE 414",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554335865",
            "telephone_number": "612-447-4747",
            "fax_number": "612-688-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERE PATH WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-23",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "NAGUJJA",
        "authorized_official_first_name": "YASHMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-447-4747",
        "authorized_official_credential": "APRN PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.