MRS. JENNIFER ANN SERBACK PMHNP
NPI 1508539826
Nurse Practitioner - Psychiatric/Mental Health in Daytona Beach, FL

Active since August 02, 2021PECOS EnrolledAccepts Medicare Assignment
1220 WILLIS AVE, DAYTONA BEACH, FL 32114(800) 539-4228 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 18, 2025, Nov 16, 2022, Aug 2, 2021 (3 updates tracked since 2021).

About Mrs. Jennifer Ann Serback Pmhnp NPPES

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

MRS. JENNIFER ANN SERBACK PMHNP (NPI 1508539826) is an individual psychiatric/mental health provider in Daytona Beach, Florida, licensed in Florida (APRN11041109) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1508539826
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. JENNIFER ANN SERBACKCredential: PMHNP
Location Address1220 WILLIS AVEDaytona Beach, FL 32114-2810
Mailing Address150 Magnolia AveDaytona Beach, FL 32114-4304 · (800) 539-4228
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 2, 2021
Last NPPES UpdateDecember 18, 20253 updates tracked since enumeration
NPPES CertifiedDecember 18, 2025
✔ NPI 1508539826 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
License✔ Licensed in FL · APRN11041109
1220 WILLIS AVE, Daytona Beach, FL 32114

Other Identifiers 1

Medicaid129060000FL

Accepted Insurance

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

Mrs. Jennifer Ann Serback Pmhnp 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 ID2961809942
PECOS Enrollment IDI20250908001027
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jennifer Serback reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Mental Health (Including Community Mental Health Center)
1220 WILLIS AVE
Daytona Beach, FL 32114
  • Reassigned Medicare billing, Florida enrollment
  • 114 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
7 S OHIO AVE STE 3100
Atlantic City, NJ 08401
  • Reassigned Medicare billing, New Jersey enrollment
  • 105 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32114 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Registered Nurse (Psychiatric/Mental Health, Adult)
1220 WILLIS AVE
DAYTONA BEACH, FL 32114
Nurse Practitioner (Family)
1220 WILLIS AVE
DAYTONA BEACH, FL 32114
Nurse Practitioner (Psychiatric/Mental Health)
1220 WILLIS AVE
DAYTONA BEACH, FL 32114
Nurse Practitioner (Psychiatric/Mental Health)
1220 WILLIS AVE
DAYTONA BEACH, FL 32114
Licensed Practical Nurse
1220 WILLIS AVE
DAYTONA BEACH, FL 32114
Counselor (Mental Health)
1220 WILLIS AVE
DAYTONA BEACH, FL 32114
Psychiatry & Neurology (Forensic Psychiatry)
1220 WILLIS AVE
DAYTONA BEACH, FL 32114
Nurse Practitioner (Psychiatric/Mental Health)
1220 WILLIS AVE
DAYTONA BEACH, FL 32114

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 Jennifer Serback's NPI number?

The NPI number for Jennifer Serback is 1508539826. It was assigned to this individual provider in the NPPES registry on August 2, 2021.

Where is Jennifer Serback located?

Jennifer Serback practices at 1220 Willis Ave, Daytona Beach, FL 32114. The listed phone number is (800) 539-4228.

What is Jennifer Serback's specialty?

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

Is Jennifer Serback enrolled in Medicare?

Yes. Jennifer Serback 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 Jennifer Serback's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Serback reassigns Medicare benefits to 2 organizations: Sma Healthcare Inc (Daytona Beach, FL) and Atlanticare Health Services, Inc. (Atlantic City, NJ). 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 Jennifer Serback's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Serback accept?

Health plans from Oscar Health Maintenance Organization of Florida, UnitedHealthcare and Wellpoint list Jennifer Serback 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 Jennifer Serback was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.