SERA BOBO (CRNP, FNP-C) – Family Nurse Practitioner, NPI 1619693249

SERA BOBO (CRNP, FNP-C) is a healthcare provider. based in Jasper, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP, FNP-C. They hold a License No. F08221310 (AL). The NPI Number for SERA BOBO (CRNP, FNP-C) is 1619693249

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
SERA BOBO (CRNP, FNP-C)
NPI
1619693249
Phone
(205) 221-9351
Address
2201 N Airport Rd
Enumeration Date
14 October 2022
Last Update Date
23 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2053653076
Graduation Year
2022 (4 years ago)
PAC ID
3072981489
Group Practice PAC ID
5496140220
Professional Enrollment ID
I20221116000557
Address ID
AL355018968JA3600XEXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:3State licenses:2Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for SERA BOBO (CRNP, FNP-C)

  • 2201 N Airport Rd

    Jasper, AL 355047058

    Phone: (205) 221-9351

    Fax: (205) 221-4353

    Type: Location

  • 4330 HIGHWAY 78 E STE 105

    JASPER, AL 355018955

    Phone: (205) 265-3076

    Fax: (205) 265-2235

    Type: Mailing

  • 3600 HIGHWAY 78 E STE 108

    JASPER, AL 355018968

    Phone: (205) 265-3076

    Fax: (205) 265-2235

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Dexcom, Inc. ($17).

Total Amount

$32

General + Research + Ownership

Payments

2

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Dexcom, Inc.$17
Lilly USA, LLC$15
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-11-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221116000557INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes7941$0
99315Nursing facility discharge day management, 30 minutes or less1111$0
View full utilization report →

Insurance plans in this area (ZIP 35504)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496140220View full group profile
NameSpecialtyState
Obstetrics/Gynecology, Family PracticeAL

Reviews

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Frequently asked questions

Can I verify SERA BOBO (CRNP, FNP-C) with an NPI only?
You can start verification with NPI 1619693249 for SERA BOBO (CRNP, FNP-C), then check state licensing separately.
Is SERA BOBO (CRNP, FNP-C) listed as active for patients and plans?
The listing shows SERA BOBO (CRNP, FNP-C) as active in the NPI system.
What taxonomy line describes SERA BOBO (CRNP, FNP-C)?
For research purposes, treat SERA BOBO (CRNP, FNP-C) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is SERA BOBO (CRNP, FNP-C) based?
SERA BOBO (CRNP, FNP-C) is tied to Jasper, Alabama in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
3 practice locations appear in the available data.