ARC SERENITY SERVICE
NPI 1659092096
Nurse Practitioner - Family in Dallas, TX
About Arc Serenity Service NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ARC SERENITY SERVICE (NPI 1659092096) is a healthcare organization registered as a family in Dallas, Texas and active in the NPI registry since September 2022. The organization lists Jebeh Baimba, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Arc Serenity Service is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Arc Serenity Service, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Arc Serenity Service's NPI number?
The NPI number for Arc Serenity Service is 1659092096. It was assigned to this organization in the NPPES registry on September 5, 2022.
Where is Arc Serenity Service located?
Arc Serenity Service is located at 13521 Montfort Dr, Dallas, TX 75240. The listed phone number is (214) 302-7171.
What is Arc Serenity Service's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Arc Serenity Service enrolled in Medicare?
Yes. Arc Serenity Service is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Arc Serenity Service?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Arc Serenity Service. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Arc Serenity Service was last updated on September 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Arc Serenity Service · NPI 1659092096
Family organization in Dallas, Texas. Organization record, active in the CMS NPPES registry since September 5, 2022.
## Identity
- **NPI:** 1659092096 (Entity type: Organization)
- **Enumerated:** September 5, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Jebeh Baimba, OWNER
## Practice location
- **Address:** 13521 MONTFORT DR, Dallas, TX 75240-5120
- **Phone:** (214) 302-7171 · **Fax:** (657) 213-2652
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 5, 2022
- **Other identifiers:** Other 1075618 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1659092096) · Data from the CMS NPPES public registry.