ELIZABETH FORMAN SERDAR ARNP
NPI 1629325204
Nurse Practitioner - Family in Olympia, WA
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
Specialties & Licenses 2
Other Identifiers 2
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Elizabeth Forman Serdar reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Olympia, WA 98502
- Reassigned Medicare billing, Washington enrollment
- 8 clinicians in this Medicare group
Olympia, WA 98502
- Reassigned Medicare billing, Washington enrollment
- 4 clinicians in this Medicare group
Fulton, MD 20759
- Reassigned Medicare billing, Washington enrollment
- 9 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 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.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OLYMPIA, WA 98506
OLYMPIA, WA 98506
OLYMPIA, WA 98506
OLYMPIA, WA 98506
OLYMPIA, WA 98506
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 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.
Where is Elizabeth Forman Serdar located?
Elizabeth Forman Serdar practices at 200 Lilly Rd NE Ste C, Olympia, WA 98506. The listed phone number is (360) 918-8336.
What is Elizabeth Forman Serdar's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Elizabeth Forman Serdar enrolled in Medicare?
Yes. Elizabeth Forman Serdar 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 Elizabeth Forman Serdar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Forman Serdar reassigns Medicare benefits to 3 organizations: Northwest Resources II (Olympia, WA), Heritage Family Medicine (Olympia, WA) and Easy Health Medical Solutions PC (Fulton, MD). 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 Elizabeth Forman Serdar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elizabeth Forman Serdar accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Elizabeth Forman Serdar 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 Elizabeth Forman Serdar was last updated on December 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Elizabeth Forman Serdar, ARNP · NPI 1629325204
Family physician in Olympia, Washington. Individual provider, active in the CMS NPPES registry since August 13, 2012.
## Identity
- **NPI:** 1629325204 (Entity type: Individual)
- **Enumerated:** August 13, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP 60301000 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 LILLY RD NE STE C, Olympia, WA 98506-5080
- **Phone:** (360) 918-8336 · **Fax:** (360) 972-2152
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Northwest Resources II (NPI 1164586210, Olympia, WA); Heritage Family Medicine (NPI 1427136977, Olympia, WA); Easy Health Medical Solutions PC (NPI 1972179141, Fulton, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** December 21, 2022
- **Other identifiers:** Medicaid 2025519 (WA); Other 304788 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1629325204) · Data from the CMS NPPES public registry.