MRS. JENNIFER ANN SERBACK PMHNP
NPI 1508539826
Nurse Practitioner - Psychiatric/Mental Health in Daytona Beach, FL
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
Specialties & Licenses
Other Identifiers 1
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
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.
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.
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.
DAYTONA BEACH, FL 32114
DAYTONA BEACH, FL 32114
DAYTONA BEACH, FL 32114
DAYTONA BEACH, FL 32114
DAYTONA BEACH, FL 32114
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.
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 7 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.
# Mrs. Jennifer Ann Serback, PMHNP · NPI 1508539826
Psychiatric/Mental Health physician in Daytona Beach, Florida. Individual provider, active in the CMS NPPES registry since August 2, 2021.
## Identity
- **NPI:** 1508539826 (Entity type: Individual)
- **Enumerated:** August 2, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** APRN11041109 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1220 WILLIS AVE, Daytona Beach, FL 32114-2810
- **Phone:** (800) 539-4228
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** December 18, 2025
- **Other identifiers:** Medicaid 129060000 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1508539826) · Data from the CMS NPPES public registry.