SERENITY LANE BEHAVIORAL HEALTHCARE LLC
NPI 1376416305
Nurse Practitioner - Psychiatric/Mental Health in Anchorage, AK

Active since September 25, 2025
205 E BENSON BLVD STE 442, ANCHORAGE, AK 99503(907) 244-1074(930) 234-3013 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Serenity Lane Behavioral Healthcare Llc NPPES

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

SERENITY LANE BEHAVIORAL HEALTHCARE LLC (NPI 1376416305) is a healthcare organization registered as a psychiatric/mental health in Anchorage, Alaska and active in the NPI registry since September 2025. The organization lists Onome T Okurume, Owner, as its authorized official.

NPPES Registry Identity

NPI1376416305
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSERENITY LANE BEHAVIORAL HEALTHCARE LLC
Location Address205 E BENSON BLVD STE 442Anchorage, AK 99503-4019
Mailing Address205 E Dimond Blvd, Pmb 582Anchorage, AK 99515-1909
Fax(930) 234-3013
Organization SubpartNo
Authorized OfficialOnome T OkurumeOwner · (907) 244-1074
Enumeration DateSeptember 25, 2025
Last NPPES UpdateNovember 5, 2025
NPPES CertifiedNovember 5, 2025
✔ NPI 1376416305 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
205 E BENSON BLVD STE 442, Anchorage, AK 99503

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

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)

Serenity Lane Behavioral Healthcare 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 Serenity Lane Behavioral Healthcare LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1326480609
1201 N MULDOON RD
Anchorage, AK 99504
(907) 257-4854
✔ PECOS5.3 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 Serenity Lane Behavioral Healthcare LLC's NPI number?

The NPI number for Serenity Lane Behavioral Healthcare LLC is 1376416305. It was assigned to this organization in the NPPES registry on September 25, 2025.

Where is Serenity Lane Behavioral Healthcare LLC located?

Serenity Lane Behavioral Healthcare LLC is located at 205 E Benson Blvd Ste 442, Anchorage, AK 99503. The listed phone number is (907) 244-1074.

What is Serenity Lane Behavioral Healthcare LLC's specialty?

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

Is Serenity Lane Behavioral Healthcare LLC enrolled in Medicare?

Yes. Serenity Lane Behavioral Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Serenity Lane Behavioral Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Serenity Lane Behavioral Healthcare 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.

What insurance does Serenity Lane Behavioral Healthcare LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Serenity Lane Behavioral Healthcare LLC 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 Serenity Lane Behavioral Healthcare LLC was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.