Individual provider Active NPI

Serena M. Ackerman, CRNA

  • Certified Registered Nurse Anesthetist
  • Pueblo, CO
National Provider Identifier
1881899755
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
PENDING Issued in CO
Practice address
400 West 16TH Street
Pueblo, CO 81003-2745
Phone
(719) 584-4420
NPI assigned
Jun 19, 2007
Last updated
Nov 7, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X PENDING CO Primary

Addresses

Primary practice location

400 West 16TH Street
Pueblo, CO 81003-2745

Mailing address

1218 N Main St
Pueblo, CO 81003-2828
Phone (719) 543-7877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110303000183 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5597857276 Reassigns benefits to 10 organizations
I20240312003652 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 5597857276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Redding Anesthesia Associates LPGroup PAC ID 4789982786, 5 clinicians
Siskiyou Hospital IncGroup PAC ID 1254223134, 96 clinicians

Practice addresses (Care Compare)

1825 Sonoma St
Redding, CA 96001-2519
Phone (530) 246-7000

444 Bruce St
Yreka, CA 96097-3450
Phone (530) 842-4121

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.45 of 100Reported as group
Quality
69.6
Promoting interoperability
100
Improvement activities
40
Cost
76.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
3944CAMDDentist
PENDINGCOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Folsom Anesthesia LP Nurse Anesthetist, Certified Registered CurrentSince Jun 23, 2019 Accepting new patients
Cep America - Anesthesia PC CurrentSince May 1, 2020 Accepting new patients
Siskiyou Hospital, Inc. CurrentSince Jul 3, 2023 Accepting new patients
Gastroenterology Associates Endoscopy Center, LLC CurrentSince Mar 12, 2014 Accepting new patients
Bay Area Hospital District CurrentSince Mar 4, 2024 Accepting new patients
Bay Area Hospital District Nurse Anesthetist, Certified Registered CurrentSince Mar 4, 2024 Accepting new patients
Gastroenterology Associates Endoscopy Center. LLC CurrentSince Mar 12, 2014 Accepting new patients
Redding Anesthesia Associates LP Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2016 Accepting new patients
Last Frontier Healthcare District Current Accepting new patients
Cep America - Anesthesia PC CurrentSince May 1, 2020 Accepting new patients
Parish Anesthesia of California, a Professional Medical Corporation Nurse Anesthetist, Certified Registered CurrentSince Jan 18, 2014 Accepting new patients
Cep America - Anesthesia, PC Current Accepting new patients
Mayers Memorial Hospital District CurrentSince Feb 15, 2021 Accepting new patients
Amsurg Marin Anesthesia LP CurrentSince May 3, 2014 Accepting new patients
Marin Endoscopy Center, LLC Past Accepting new patients
Last Frontier Healthcare District Past Accepting new patients
Anesthesia & Pain Management Services of Pueblo PastSince Nov 21, 2015 Accepting new patients
Matthew J Furman, D.O. LLC Past Accepting new patients

Locations

1111 N Nagle St
Alturas, CA 96101
Phone (530) 708-8800

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

43563 State Highway 299 E
Fl River Mls, CA 96028
Phone (530) 336-5511

1671 Creekside Dr
Ste 100
Folsom, CA 95630
Phone (214) 739-9544

1100 S Eliseo Dr
Ste 3
Greenbrae, CA 94904
Phone (415) 464-0606

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

914 Pine St
Mount Shasta, CA 96067
Phone (503) 926-6111

Dept LA 25339
Pasadena, CA 91185

1825 Sonoma St
Redding, CA 96001
Phone (530) 243-8667

2179 Court St
Redding, CA 96001
Phone (530) 246-7000

444 Bruce St
Yreka, CA 96097
Phone (530) 841-6256

1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1881899755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 N MAIN ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032828",
            "telephone_number": "719-543-7877",
            "fax_number": "719-543-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WEST 16TH STREET",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032745",
            "telephone_number": "719-584-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKERMAN",
        "first_name": "SERENA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.