Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SERENITY TELEHEALTH LLC
NPI 1902698160
Nurse Practitioner - Psychiatric/Mental Health in Albuquerque, NM

Active since May 21, 2025
1209 MOUNTAIN ROAD PL NE STE N, ALBUQUERQUE, NM 87110(347) 682-3040(347) 682-3040 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 22, 2026, May 21, 2025 (2 updates tracked since 2025).

About Serenity Telehealth Llc NPPES

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

SERENITY TELEHEALTH LLC (NPI 1902698160) is a healthcare organization registered as a psychiatric/mental health in Albuquerque, New Mexico and active in the NPI registry since May 2025. The organization lists Nneka Mbadiwe, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1902698160
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSERENITY TELEHEALTH LLC
Location Address1209 MOUNTAIN ROAD PL NE STE NAlbuquerque, NM 87110-7845
Mailing Address1209 Mountain Road Pl Ne Ste NAlbuquerque, NM 87110-7825 · (347) 682-3040 · Fax (347) 514-9300
Fax(347) 682-3040
Organization SubpartNo
Authorized OfficialNneka MbadiweAuthorized Official · (347) 682-3040
Enumeration DateMay 21, 2025
Last NPPES UpdateSeptember 22, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1902698160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1209 MOUNTAIN ROAD PL NE STE N, Albuquerque, NM 87110

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Serenity Telehealth Llc 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 Serenity Telehealth LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1467992891
42 BROADWAY STE 1227
New York, NY 10004
(347) 682-3040
✔ PECOS1,809 mi

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 Serenity Telehealth LLC's NPI number?

The NPI number for Serenity Telehealth LLC is 1902698160. It was assigned to this organization in the NPPES registry on May 21, 2025.

Where is Serenity Telehealth LLC located?

Serenity Telehealth LLC is located at 1209 Mountain Road Pl NE Ste N, Albuquerque, NM 87110. The listed phone number is (347) 682-3040.

What is Serenity Telehealth LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Serenity Telehealth LLC enrolled in Medicare?

Yes. Serenity Telehealth LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Serenity Telehealth LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Serenity Telehealth LLC. 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 Serenity Telehealth LLC was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.