Individual provider Active NPI

Serena J Verolla, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Londonderry, NH
National Provider Identifier
1851531784
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
046137-23 Issued in NH
Practice address
75 Gilcreast Rd Ste 210-188
Londonderry, NH 03053-3564
Phone
(603) 207-3563
Fax
(855) 640-8960
NPI assigned
Mar 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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 046137-23 NH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 046137-23 NH Primary

Addresses

Primary practice location

75 Gilcreast Rd Ste 210-188
Londonderry, NH 03053-3564

Mailing address

28 Farrwood Rd
Windham, NH 03087-1835
Phone (603) 207-3563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20130521000666 NH Practitioner - Nurse Practitioner 3577701135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

75 Gilcreast Rd
Unit 210
Londonderry, NH 03053-3566
Phone (603) 207-3563

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Serena Verolla, PLLC Psychiatric/Mental Health CurrentSince Jun 14, 2024 Accepting new patients

Locations

2 Village Green Rd
Ste B3
Hampstead, NH 03841
Phone (603) 329-6440

75 Gilcreast Rd
Unit 210
Londonderry, NH 03053
Phone (603) 305-7076

75 Gilcreast Rd
Unit 200
Londonderry, NH 03053
Phone (603) 425-7519

Organizations & group practices 1

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": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1851531784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 FARRWOOD RD",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030871835",
            "telephone_number": "603-207-3563",
            "fax_number": "855-640-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 GILCREAST RD STE 210-188",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533564",
            "telephone_number": "603-207-3563",
            "fax_number": "855-640-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEROLLA",
        "first_name": "SERENA",
        "middle_name": "J",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-05",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "046137-23",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "046137-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Londonderry, NH

Sources for this page

Verify at the official NPI Registry.