SERITA SCULLARK
NPI 1437958089
Nurse Practitioner in Chappaqua, NY

Active since March 07, 2025PECOS EnrolledAccepts Medicare Assignment
480 BEDFORD RD, CHAPPAQUA, NY 10514(914) 223-1700 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 17, 2025, Mar 7, 2025 (2 updates tracked since 2025).

About Serita Scullark NPPES

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

SERITA SCULLARK (NPI 1437958089) is an individual nurse practitioner in Chappaqua, New York, licensed in New York (312094) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with Northern Westchester Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1437958089
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSERITA SCULLARK
Location Address480 BEDFORD RDChappaqua, NY 10514-1715
Mailing Address480 Bedford RdChappaqua, NY 10514-1715
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 7, 2025
Last NPPES UpdateJune 17, 20252 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
NPI 1437958089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NY · 312094
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

480 BEDFORD RD, Chappaqua, NY 10514

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

Serita Scullark 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 ID3375045693
PECOS Enrollment IDI20250905003674, I20260128001256
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 2

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

Northern Westchester Hospital

Acute Care Hospitals · Mount Kisco, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330162
Location400 East Main StreetMount Kisco, NY 10549 · Westchester County
Emergency services Birthing friendly

Phelps Hospital

Acute Care Hospitals · Sleepy Hollow, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330261
Location701 N BroadwaySleepy Hollow, NY 10591 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10514 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.

Physical Therapist
480 BEDFORD RD
CHAPPAQUA, NY 10514
Counselor (Mental Health)
480 BEDFORD RD
CHAPPAQUA, NY 10514
Internal Medicine
480 BEDFORD RD
CHAPPAQUA, NY 10514
Dentist (General Practice)
480 BEDFORD RD
CHAPPAQUA, NY 10514
Physical Medicine & Rehabilitation
480 BEDFORD RD
CHAPPAQUA, NY 10514
Speech-Language Pathologist
480 BEDFORD RD
CHAPPAQUA, NY 10514
Internal Medicine (Pulmonary Disease)
480 BEDFORD RD
CHAPPAQUA, NY 10514
Physical Therapist
480 BEDFORD RD
CHAPPAQUA, NY 10514

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 Serita Scullark's NPI number?

The NPI number for Serita Scullark is 1437958089. It was assigned to this individual provider in the NPPES registry on March 7, 2025.

Where is Serita Scullark located?

Serita Scullark practices at 480 Bedford Rd, Chappaqua, NY 10514. The listed phone number is (914) 223-1700.

What is Serita Scullark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Serita Scullark enrolled in Medicare?

Yes. Serita Scullark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Serita Scullark affiliated with any hospitals?

According to CMS data, Serita Scullark is affiliated with Northern Westchester Hospital and Phelps Hospital.

When was this NPI record last updated?

The NPPES record for Serita Scullark was last updated on June 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.