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MR. SEREN DEVOL WALLEN PA-C
NPI 1447336235
Physician Assistant - Surgical in Tampa, FL

Active since October 27, 2006PECOS EnrolledAccepts Medicare Assignment
4612 N HABANA AVE, 2ND FL, TAMPA, FL 33614(813) 321-6580(813) 321-6581 Get Directions Write a Review

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

Record update history: Mar 9, 2026, May 11, 2023, May 25, 2017 and 2 more (5 updates tracked since 2016).

About Mr. Seren Devol Wallen Pa-c NPPES

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

MR. SEREN DEVOL WALLEN PA-C (NPI 1447336235) is an individual surgical provider in Tampa, Florida, licensed in Florida (PA9103985) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1447336235
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. SEREN DEVOL WALLENCredential: PA-C
Location Address4612 N HABANA AVE, 2ND FLTampa, FL 33614-7101
Mailing Address3000 Medical Park Dr Ste 320Tampa, FL 33613-4681 · (813) 336-5766
Phone(813) 321-6580
Fax(813) 321-6581
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 27, 2006
Last NPPES UpdateMarch 9, 20265 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1447336235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in FL · PA9103985
4612 N HABANA AVE, Tampa, FL 33614
Open in Google Maps ↗

Other Identifiers 1

Medicaid292621100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Mr. Seren Devol Wallen Pa-c 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 ID3375542145
PECOS Enrollment IDI20070327000311
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.

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100173
Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 10

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

ANTHONY JOSEPH PIZZO MD
Plastic Surgery
4612 N HABANA AVE, SUITE 101
TAMPA, FL 33614
Hillsborough County (813) 870-0764
MS. CHERYL A MURPHY ARNP
Nurse Practitioner
4612 N HABANA AVE, 2ND FLOOR
TAMPA, FL 33614
Hillsborough County (813) 875-9000
FLORIDA CANCER SPECIALISTS P L
Internal Medicine (Hematology & Oncology)
4612 N HABANA AVE, SUITE 200
TAMPA, FL 33614
Hillsborough County (813) 875-2341
DR. ALOK SINGH MD
Internal Medicine (Interventional Cardiology)
4612 N HABANA AVE, 2ND FL
TAMPA, FL 33614
Hillsborough County (813) 875-9000
HEMATOLOGY ONCOLOGY SPECIALISTS OF TAMPA
Specialist
4612 N HABANA AVE, SUITE 200
TAMPA, FL 33614
Hillsborough County (813) 875-2341
RADIOLOGY ASSOCIATES OF TAMPA PA
Radiology (Diagnostic Radiology)
4612 N HABANA AVE, FLORIDA CANCER SPECIALISTS # 200
TAMPA, FL 33614
Hillsborough County (813) 875-2341
DR. MATTHEW U GLOVER
Internal Medicine (Interventional Cardiology)
4612 N HABANA AVE
TAMPA, FL 33614
Hillsborough County (813) 875-9000
DR. ANTHONY P GOLDMAN MD
Internal Medicine (Interventional Cardiology)
4612 N HABANA AVE
TAMPA, FL 33614
Hillsborough County (813) 875-9000

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 Seren Wallen's NPI number?

The NPI number for Seren Wallen is 1447336235. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Seren Wallen located?

Seren Wallen practices at 4612 N Habana Ave 2nd Fl, Tampa, FL 33614. The listed phone number is (813) 321-6580.

What is Seren Wallen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Seren Wallen enrolled in Medicare?

Yes. Seren Wallen 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.

What insurance does Seren Wallen accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and AvMed list Seren Wallen 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.

Is Seren Wallen affiliated with any hospitals?

According to CMS data, Seren Wallen is affiliated with St Josephs Hospital and Adventhealth Tampa.

When was this NPI record last updated?

The NPPES record for Seren Wallen was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.