DR. SERENA JANE ELIZABETH SHIMSHAK MD
NPI 1730949967
Dermatology in Jacksonville, FL

Q: What is Serena Shimshak's NPI number?

The NPI number for Serena Shimshak is 1730949967. It was assigned to this individual provider in the NPPES registry on March 22, 2024.

Q: What is Serena Shimshak's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Serena Shimshak was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since March 22, 2024PECOS Enrolled

4500 SAN PABLO RD S FL 32224, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2025, Aug 7, 2024, Apr 18, 2024 (3 updates tracked since 2024).

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About Dr. Serena Jane Elizabeth Shimshak Md NPPES

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

DR. SERENA JANE ELIZABETH SHIMSHAK MD (NPI 1730949967) is an individual dermatology provider in Jacksonville, Florida, licensed in Florida (ME176238) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic, and is a graduate of Mayo Medical School (2024).

NPPES Registry Identity

NPI1730949967

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameDR. SERENA JANE ELIZABETH SHIMSHAKCredential: MD

Location Address4500 SAN PABLO RD S FL 32224Jacksonville, FL 32224-1865

Mailing Address4500 San Pablo Rd S Fl 32224Jacksonville, FL 32224-1865 · (904) 953-2000

Phone(904) 953-2000

Sole ProprietorNo

Medical School CMSMayo Medical SchoolGraduated 2024

Enumeration DateMarch 22, 2024

Last NPPES UpdateSeptember 2, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 2, 2025

✔ NPI 1730949967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in FL · ME176238

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

4500 SAN PABLO RD S FL 32224, Jacksonville, FL 32224

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Serena Jane Elizabeth Shimshak Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860930195

PECOS Enrollment IDI20250910001830

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mayo Clinic

Acute Care Hospitals · Jacksonville, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100151

Location4500 San Pablo RdJacksonville, FL 32224 · Duval County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32224 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

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

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 12

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

HEBAH ALHUMAIDI

Internal Medicine (Endocrinology, Diabetes & Metabolism)