SERENA WORMALD KOCOUREK NP
NPI 1386274397
Nurse Practitioner - Acute Care in Greenville, SC

Q: What is Serena Kocourek's NPI number?

The NPI number for Serena Kocourek is 1386274397. It was assigned to this individual provider in the NPPES registry on January 17, 2020.

Q: What is Serena Kocourek's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Serena Kocourek was last updated on May 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 17, 2020PECOS EnrolledAccepts Medicare Assignment

1005 GROVE RD, GREENVILLE, SC 29605(864) 455-6900(864) 255-5619 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 17, 2021, Jun 24, 2020, Jan 17, 2020 (3 updates tracked since 2020).

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About Serena Wormald Kocourek Np NPPES

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

SERENA WORMALD KOCOUREK NP (NPI 1386274397) is an individual acute care provider in Greenville, South Carolina, licensed in South Carolina (23689) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Greenville Memorial Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1386274397

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameSERENA WORMALD KOCOUREKCredential: NP

Location Address1005 GROVE RDGreenville, SC 29605-4630

Mailing Address1 Independence Pt Ste 212Greenville, SC 29615-4536 · (864) 797-6307

Phone(864) 455-6900

Fax(864) 255-5619

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 17, 2020

Last NPPES UpdateMay 17, 20213 updates tracked since enumeration

NPPES CertifiedMay 17, 2021

✔ NPI 1386274397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in SC · 23689

Also ListedRegistered NurseTaxonomy 163W00000X · License 239287 (SC)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 23689 (SC)

1005 GROVE RD, Greenville, SC 29605

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, InStil Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Serena Wormald Kocourek Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597188912

PECOS Enrollment IDI20200701003365

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420078

Location701 Grove RoadGreenville, SC 29605 · Greenville County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29605 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

GINA ELISE FULTON NP

Nurse Practitioner (Gerontology)