ELIZABETH FORMAN SERDAR ARNP
NPI 1629325204
Nurse Practitioner - Family in Olympia, WA

Q: What is Elizabeth Forman Serdar's NPI number?

The NPI number for Elizabeth Forman Serdar is 1629325204. It was assigned to this individual provider in the NPPES registry on August 13, 2012.

Q: What is Elizabeth Forman Serdar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since August 13, 2012PECOS EnrolledAccepts Medicare Assignment

200 LILLY RD NE STE C, OLYMPIA, WA 98506(360) 918-8336(360) 972-2152 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 21, 2022, Mar 23, 2017 (2 updates tracked since 2017).

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About Elizabeth Forman Serdar Arnp NPPES

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

ELIZABETH FORMAN SERDAR ARNP (NPI 1629325204) is an individual family provider in Olympia, Washington, licensed in Washington (AP 60301000) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1629325204

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameELIZABETH FORMAN SERDARCredential: ARNP

Location Address200 LILLY RD NE STE COlympia, WA 98506-5080

Mailing Address200 Lilly Rd Ne Ste COlympia, WA 98506-5080 · (360) 481-7788 · Fax (360) 972-2152

Phone(360) 918-8336

Fax(360) 972-2152

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateAugust 13, 2012

Last NPPES UpdateDecember 21, 20222 updates tracked since enumeration

NPPES CertifiedDecember 21, 2022

✔ NPI 1629325204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WA · AP 60301000

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License AP60301000 (WA)

200 LILLY RD NE STE C, Olympia, WA 98506

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Other Identifiers 2

Medicaid2025519WA

Other304788WA · L & I Wa

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

Elizabeth Forman Serdar Arnp 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 ID5799937496

PECOS Enrollment IDI20130213000589

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98506 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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 15

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

BRANDON MATHEWS

Case Manager/Care Coordinator