Serena Gibney – Audiologist in Pottsville, PA

Key facts

NPI: 1922423441
Entity type: Individual (NPI type 1)
Primary specialty: Audiologist 231H00000X
License: AT006342 (PA)
Practice address: 100 Schuylkill Medical PLZ
Suite 203
Pottsville, PA 17901-3636
Phone: (570) 621-5005
NPI assigned: Feb 19, 2014
Sex: Female
Sole proprietor: No

Organizations & group practices 3

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.

Susquehanna Physician Services Otolaryngology Physician · Williamsport, PA · NPI 1346263266

Medicare reassignment NPD AUDIOLOGIST · PA
Susquehanna Physician Services Radiology Clinic/Center · Mansfield, PA · NPI 1073361564

NPD
Susquehanna Physician Services Family Medicine Physician · South Williamsport, PA · NPI 1780631226

NPD (past)

Medicare Care Compare profile

Specialty: Qualified Audiologist
Education: Other, 2013
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Susquehanna Physician Services (611 clinicians)

Practice addresses (Care Compare)

1705 Warren
205 Suite U4 Susquehanna Health ENT
Williamsport, PA 17701-2647
Phone (570) 320-7474

Merit-based Incentive Payment System (MIPS)

Final score: 81.06 of 100 (group)
Quality: 62.07
Promoting interoperability: 100
Improvement activities: 40
Cost: 74.81

Medicare participation

Medicare fee-for-service enrollment: Enrolled in PA

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20140627001719	PA	Practitioner - Qualified Audiologist	4082839444	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Specialty	Status	New patients
Susquehanna Physician Services		Current since Nov 13, 2017	Accepting new patients
Susquehanna Physician Services	Audiologist	Current since Nov 13, 2017	Accepting new patients
Susquehanna Physician Services		Past	Accepting new patients

Locations

1705 Warren Ave
Ste U4
Williamsport, PA 17701
Phone (570) 320-7474

1705 Warren Ave
Ste 204205
Williamsport, PA 17701
Phone (570) 320-7474

700 High St
Williamsport, PA 17701
Phone (570) 321-1000

1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723

1201 Grampian Blvd
Ste 204205
Williamsport, PA 17701

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Audiologist	231H00000X	AT006342	PA	Yes

Addresses

Primary practice location

100 Schuylkill Medical PLZ
Suite 203
Pottsville, PA 17901-3636

Mailing address

1201 Grampian Blvd
Suite 204205
Williamsport, PA 17701-1900

Electronic endpoints

Type	Endpoint	Use	Affiliation
Direct Messaging Address	upmchospitals@upmcdirect.com		UPMC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 24, 2021.

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1922423441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 GRAMPIAN BLVD",
            "address_2": "SUITE 204205",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SCHUYLKILL MEDICAL PLZ",
            "address_2": "SUITE 203",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013636",
            "telephone_number": "570-621-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBNEY",
        "first_name": "SERENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-19",
        "last_updated": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pottsville, PA

All providers in Pottsville, PA · Audiologist in Pennsylvania

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.