MR. JOHN SERRA JR. NP
NPI 1861251472
Nurse Practitioner - Family in Chesterfield, MI

Q: What is John Serra's NPI number?

The NPI number for John Serra is 1861251472. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Q: What is John Serra's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Serra was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 18, 2024PECOS Enrolled

52352 WALNUT DR, CHESTERFIELD, MI 48047(586) 610-2395 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Mr. John Serra Jr. Np NPPES

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

MR. JOHN SERRA JR. NP (NPI 1861251472) is an individual family provider in Chesterfield, Michigan, licensed in Michigan (4704354207) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1861251472

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. JOHN SERRA JR.Credential: NP

Location Address52352 WALNUT DRChesterfield, MI 48047-4548

Mailing Address52352 Walnut DrChesterfield, MI 48047-4548 · (586) 610-2395

Phone(586) 610-2395

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 18, 2024

NPPES CertifiedAugust 8, 2023

✔ NPI 1861251472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704354207

52352 WALNUT DR, Chesterfield, MI 48047

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. John Serra Jr. Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284125055

PECOS Enrollment IDI20251119002385

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.

Medicare Billing Reassignment

Medicare enrollment records show John Serra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Reza Kahnamouei MD PLLC

10 mi

Family Medicine

43361 COMMONS DR
Clinton Township, MI 48038

Reassigned Medicare billing, Michigan enrollment
12 clinicians in this Medicare group

NPI 1619339918 (586) 745-3006

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 48047 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

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 John Serra's NPI number?

The NPI number for John Serra is 1861251472. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is John Serra located?

John Serra practices at 52352 Walnut Dr, Chesterfield, MI 48047. The listed phone number is (586) 610-2395.

What is John Serra's specialty?

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

Is John Serra enrolled in Medicare?

Yes. John Serra is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Serra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Serra reassigns Medicare benefits to Reza Kahnamouei MD PLLC (Clinton Township, MI). The 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 John Serra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Serra was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.