SERENITY CARE NP IN PSYCHIATRY PC
NPI 1043727639
Nurse Practitioner - Psychiatric/Mental Health in Williamsville, NY

Active since January 04, 2018
21 LINWOOD AVE, WILLIAMSVILLE, NY 14221(716) 626-9016 Get Directions Write a Review

NPPES record last updated: March 12, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Serenity Care Np In Psychiatry Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERENITY CARE NP IN PSYCHIATRY PC (NPI 1043727639) is a healthcare organization registered as a psychiatric/mental health in Williamsville, New York and active in the NPI registry since January 2018. The organization lists Elizabeth J Church, Np, as its authorized official.

NPPES Registry Identity

NPI1043727639
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSERENITY CARE NP IN PSYCHIATRY PC
Location Address21 LINWOOD AVEWilliamsville, NY 14221-6501
Mailing Address21 Linwood AveWilliamsville, NY 14221-6501
Organization SubpartNo
Authorized OfficialElizabeth J ChurchNp · (716) 626-9016
Enumeration DateJanuary 4, 2018
Last NPPES UpdateMarch 12, 2018
✔ NPI 1043727639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
21 LINWOOD AVE, Williamsville, NY 14221

Other Identifiers 1

Medicaid010481100FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Serenity Care Np In Psychiatry Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Serenity Care Np In Psychiatry PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1578809000
21 LINWOOD AVE
Williamsville, NY 14221
(716) 626-9016
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Serenity Care Np In Psychiatry PC's NPI number?

The NPI number for Serenity Care Np In Psychiatry PC is 1043727639. It was assigned to this organization in the NPPES registry on January 4, 2018.

Where is Serenity Care Np In Psychiatry PC located?

Serenity Care Np In Psychiatry PC is located at 21 Linwood Ave, Williamsville, NY 14221. The listed phone number is (716) 626-9016.

What is Serenity Care Np In Psychiatry PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Serenity Care Np In Psychiatry PC enrolled in Medicare?

Yes. Serenity Care Np In Psychiatry PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Serenity Care Np In Psychiatry PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Serenity Care Np In Psychiatry PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Serenity Care Np In Psychiatry PC was last updated on March 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.