SERENE MEDICAL CLINIC LLC
NPI 1134918550
Psychiatry & Neurology - Psychiatry in Bloomington, MN

Q: What is Serene Medical Clinic LLC's NPI number?

The NPI number for Serene Medical Clinic LLC is 1134918550. It was assigned to this organization in the NPPES registry on May 2, 2025. The provider is doing business as Serene Medical Clinic LLC:.

Q: What is Serene Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since May 02, 2025

4470 W 78TH STREET CIR STE 265, BLOOMINGTON, MN 55435(952) 260-3367(952) 213-4260 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 2, 2026, Sep 3, 2025, May 5, 2025 (3 updates tracked since 2025).

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About Serene Medical Clinic Llc NPPES

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

SERENE MEDICAL CLINIC LLC (NPI 1134918550), doing business as Serene Medical Clinic Llc:, is a healthcare organization registered as a psychiatry in Bloomington, Minnesota and active in the NPI registry since May 2025. The organization lists Fartun Ahmed Keynan, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1134918550

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameSERENE MEDICAL CLINIC LLC

Location Address4470 W 78TH STREET CIR STE 265Bloomington, MN 55435-5408

Mailing Address4470 W 78th Street Cir Ste 265Bloomington, MN 55435-5408 · (952) 260-3367 · Fax (952) 213-4260

Phone(952) 260-3367

Fax(952) 213-4260

Organization SubpartNo

Authorized OfficialFartun Ahmed KeynanNurse Practitioner · (952) 260-3367

Enumeration DateMay 2, 2025

Last NPPES UpdateJanuary 2, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 2, 2026

✔ NPI 1134918550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

4470 W 78TH STREET CIR STE 265, Bloomington, MN 55435

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Other Names 1

Doing Business AsSerene Medical Clinic Llc:

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Serene Medical Clinic Llc 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 Serene Medical Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Fartun Keynan, FNP, PMHNP

Nurse Practitioner

NPI 1255119087

4470 W 78TH STREET CIR STE 265
Bloomington, MN 55435

(952) 260-3367

✔ PECOSSame 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 Serene Medical Clinic LLC's NPI number?

The NPI number for Serene Medical Clinic LLC is 1134918550. It was assigned to this organization in the NPPES registry on May 2, 2025. The provider is doing business as Serene Medical Clinic LLC:.

Where is Serene Medical Clinic LLC located?

Serene Medical Clinic LLC is located at 4470 W 78th Street Cir Ste 265, Bloomington, MN 55435. The listed phone number is (952) 260-3367.

What is Serene Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Serene Medical Clinic LLC enrolled in Medicare?

Yes. Serene Medical Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Serene Medical Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Serene Medical Clinic LLC. 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 Serene Medical Clinic LLC was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.