SERENA BISHOP MCCLUSKIE (PA) – Emergency Medicine Physician, NPI 1639899230

SERENA BISHOP MCCLUSKIE (PA) is a healthcare provider. based in Montgomery, Alabama. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA.2157 (AL). The NPI Number for SERENA BISHOP MCCLUSKIE (PA) is 1639899230

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
SERENA BISHOP MCCLUSKIE (PA)
NPI
1639899230
Phone
(334) 277-8330
Address
400 Taylor Rd
Enumeration Date
1 September 2022
Last Update Date
9 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3342801500
Graduation Year
2022 (4 years ago)
PAC ID
0547633851
Group Practice PAC ID
8426076670
Professional Enrollment ID
I20230308001003
Address ID
AL360811766TR199XXNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,202 PHYSICIAN ASSISTANT in AL

Provider Addresses for SERENA BISHOP MCCLUSKIE (PA)

  • 400 Taylor Rd

    Montgomery, AL 361173511

    Phone: (334) 277-8330

    Type: Location

  • 2105 E South Blvd

    Montgomery, AL 361162409

    Phone: (334) 288-2100

    Type: Location

  • 124 S Memorial Dr

    Prattville, AL 360673619

    Phone: (334) 365-0651

    Type: Location

  • 3029 WILLOW LANE DR

    MONTGOMERY, AL 361093565

    Phone:

    Type: Mailing

  • 400 TAYLOR RD

    MONTGOMERY, AL 361173511

    Phone: (334) 277-8330

    Type: Location

  • 273 WINTON M BLOUNT LOOP

    MONTGOMERY, AL 361173507

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $69.

Total Amount is formed as General ($69) + Research ($0) + Ownership ($0) = $69.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($34).

Total Amount

$69

General + Research + Ownership

Payments

3

Total payment records

General Amount

$69

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-03-08

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
I20230308001003IPhysician AssistantALTBD

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
99285Emergency department visit with high level of medical decision making3433$0
99284Emergency department visit with moderate level of medical decision making3231$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1815$0
99283Emergency department visit with low level of medical decision making1414$0
View full utilization report →

Insurance plans in this area (ZIP 36117)

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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: 8426076670View full group profile
NameSpecialtyState
Nurse PractitionerAL
Nurse PractitionerAL
-AL
Addiction Medicine, Family PracticeAL
Interventional Cardiology, Cardiovascular Disease (Cardiology)AL
Family PracticeAL
Family PracticeAL
Physician AssistantAL
-AL
Interventional CardiologyAL

Reviews

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Frequently asked questions

What federal number belongs to SERENA BISHOP MCCLUSKIE (PA)?
The federal identifier for SERENA BISHOP MCCLUSKIE (PA) is NPI 1639899230.
Does this profile mean SERENA BISHOP MCCLUSKIE (PA) is currently active?
Yes — SERENA BISHOP MCCLUSKIE (PA) appears active in the national provider directory.
What kind of provider is SERENA BISHOP MCCLUSKIE (PA)?
The page reflects Emergency Medicine Physician for SERENA BISHOP MCCLUSKIE (PA). Clinical services aligned with this taxonomy classification.
Where is SERENA BISHOP MCCLUSKIE (PA)'s primary listing?
We display Montgomery, Alabama because that is what the record indicates for SERENA BISHOP MCCLUSKIE (PA).
Is SERENA BISHOP MCCLUSKIE (PA) a real provider?
This page reflects official NPPES data for NPI 1639899230. Always confirm identity and privileges with the practice and licensing boards.

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