SERITA SCULLARK
NPI 1437958089
Nurse Practitioner in Chappaqua, NY
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 Phelps Hospital, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Serita Scullark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Great Neck, NY 11021
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Cedarhurst, NY 11516
- Reassigned Medicare billing, New Jersey enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Phelps Hospital
Acute Care Hospitals · Sleepy Hollow, NYPhysician 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.
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.
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.
Which organizations bill Medicare for Serita Scullark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Serita Scullark reassigns Medicare benefits to 2 organizations: North Shore-Lij Medical PC (Great Neck, NY) and Attentive Care General Practice Of Medicine Of Nj PC (Cedarhurst, NY). Each 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 Serita Scullark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Serita Scullark affiliated with any hospitals?
According to CMS data, Serita Scullark is affiliated with 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Serita Scullark · NPI 1437958089
Nurse Practitioner physician in Chappaqua, New York. Individual provider, active in the CMS NPPES registry since March 7, 2025.
## Identity
- **NPI:** 1437958089 (Entity type: Individual)
- **Enumerated:** March 7, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 312094 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 480 BEDFORD RD, Chappaqua, NY 10514-1715
- **Phone:** (914) 223-1700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): North Shore-Lij Medical PC (NPI 1053688572, Great Neck, NY); Attentive Care General Practice Of Medicine Of Nj PC (NPI 1528877628, Cedarhurst, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** June 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1437958089) · Data from the CMS NPPES public registry.