SERENA ALBERTA PERGOLA RN, CPNP-AC
NPI 1205663960
Nurse Practitioner - Pediatrics, Critical Care in Stony Brook, NY

Q: What is Serena Pergola's NPI number?

The NPI number for Serena Pergola is 1205663960. It was assigned to this individual provider in the NPPES registry on September 17, 2024.

Q: What is Serena Pergola's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Q: When was this NPI record last updated?

The NPPES record for Serena Pergola was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since September 17, 2024PECOS Enrolled

101 NICOLLS RD, STONY BROOK, NY 11794(631) 444-5437 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 9, 2025, Oct 3, 2024, Sep 17, 2024 (3 updates tracked since 2024).

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About Serena Alberta Pergola Rn, Cpnp-ac NPPES

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

SERENA ALBERTA PERGOLA RN, CPNP-AC (NPI 1205663960) is an individual pediatrics, critical care provider in Stony Brook, New York, licensed in New York (938446) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1205663960

Entity TypeIndividualFemale

Primary Taxonomy363LP0222X

Provider Legal NameSERENA ALBERTA PERGOLACredential: RN, CPNP-AC

Location Address101 NICOLLS RDStony Brook, NY 11794-0001

Mailing AddressPo Box 1559Stony Brook, NY 11790-0989 · (631) 444-0650

Phone(631) 444-5437

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 17, 2024

Last NPPES UpdateOctober 9, 20253 updates tracked since enumeration

NPPES CertifiedOctober 9, 2025

✔ NPI 1205663960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0222X

License✔ Licensed in NY · 938446

101 NICOLLS RD, Stony Brook, NY 11794

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Serena Alberta Pergola Rn, Cpnp-ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577067412

PECOS Enrollment IDI20250916000194

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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