COMPLETE SERENITY INC
NPI 1174092001
Nurse Practitioner - Psychiatric/Mental Health in Pompano Beach, FL

Active since November 20, 2018
721 E ATLANTIC BLVD, POMPANO BEACH, FL 33060(954) 783-8300(954) 783-8302 Get Directions Write a Review

NPPES record last updated: October 1, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 1, 2019, Nov 20, 2018 (2 updates tracked since 2018).

About Complete Serenity Inc NPPES

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

COMPLETE SERENITY INC (NPI 1174092001) is a healthcare organization registered as a psychiatric/mental health in Pompano Beach, Florida and active in the NPI registry since November 2018. The organization maintains a secondary practice location in Miramar and lists Sharon Paulette Johnson-hyatt, Owner Of Entity, as its authorized official.

NPPES Registry Identity

NPI1174092001
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCOMPLETE SERENITY INC
Location Address721 E ATLANTIC BLVDPompano Beach, FL 33060-6345
Mailing Address4225 Sw 185th AveMiramar, FL 33029-2777 · (954) 783-8300 · Fax (954) 783-8302
Fax(954) 783-8302
Organization SubpartNo
Authorized OfficialSharon Paulette Johnson-hyattOwner Of Entity · (954) 783-8300
Enumeration DateNovember 20, 2018
Last NPPES UpdateOctober 1, 20192 updates tracked since enumeration
✔ NPI 1174092001 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
721 E ATLANTIC BLVD, Pompano Beach, FL 33060

Secondary Practice Location 1

Location 14225 SW 185th AveMiramar, FL 33029-2777 · Phone (954) 801-6346

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Complete Serenity Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Complete Serenity Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1396210555
4225 SW 185TH AVE
Miramar, FL 33029
(954) 801-6346
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1427781442
111 NE 1ST ST FL 8
Miami, FL 33132
(786) 280-6085
✔ PECOS✔ Accepts Medicare32 mi
Nurse Practitioner
NPI 1942044037
8950 SW 74TH CT STE 1808
Miami, FL 33156
(305) 300-3121
✔ PECOS✔ Accepts Medicare40 mi
Nurse Practitioner
NPI 1588355994
130 SOUTH INDIAN RIVER DRIVE SUITE 202-# 3425
Fort Pierce, FL 34950
(561) 633-3081
✔ PECOS✔ Accepts Medicare85 mi

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 Complete Serenity Inc's NPI number?

The NPI number for Complete Serenity Inc is 1174092001. It was assigned to this organization in the NPPES registry on November 20, 2018.

Where is Complete Serenity Inc located?

Complete Serenity Inc is located at 721 E Atlantic Blvd, Pompano Beach, FL 33060. The listed phone number is (954) 783-8300.

What is Complete Serenity Inc's specialty?

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

Is Complete Serenity Inc enrolled in Medicare?

Yes. Complete Serenity Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Complete Serenity Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Complete Serenity Inc. 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.

What insurance does Complete Serenity Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Complete Serenity Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Complete Serenity Inc was last updated on October 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.