SERENA DEVERICH NP
NPI 1902513559
Nurse Practitioner - Adult Health in San Mateo, CA
About Serena Deverich Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SERENA DEVERICH NP (NPI 1902513559) is an individual adult health provider in San Mateo, California, licensed in California (95022407) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Serena Deverich Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Serena Deverich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Mateo, CA 94403
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1831268580 (California), NPI 1114005105 (California)
- 46 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 94403 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN MATEO, CA 94403
SAN MATEO, CA 94403
SAN MATEO, CA 94403
SAN MATEO, CA 94403
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 Serena Deverich's NPI number?
The NPI number for Serena Deverich is 1902513559. It was assigned to this individual provider in the NPPES registry on November 2, 2022.
Where is Serena Deverich located?
Serena Deverich practices at 225 37th Ave, San Mateo, CA 94403. The listed phone number is (510) 919-0186.
What is Serena Deverich's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Serena Deverich enrolled in Medicare?
Yes. Serena Deverich is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Serena Deverich's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Serena Deverich reassigns Medicare benefits to County Of San Mateo (San Mateo, CA). 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 Serena Deverich'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 Serena Deverich was last updated on November 2, 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.
# Serena Deverich, NP · NPI 1902513559
Adult Health physician in San Mateo, California. Individual provider, active in the CMS NPPES registry since November 2, 2022.
## Identity
- **NPI:** 1902513559 (Entity type: Individual)
- **Enumerated:** November 2, 2022
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 95022407 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 225 37TH AVE, San Mateo, CA 94403-4324
- **Phone:** (510) 919-0186
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** County Of San Mateo (NPI 1306907928, San Mateo, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 2, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1902513559) · Data from the CMS NPPES public registry.