TRACI SERRANO (APRN) – Nurse Practitioner, NPI 1063054468
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for TRACI SERRANO (APRN)
7, Zephyr Lily Place, Palm Coast, Flagler County, Florida, 32164, United States
PALM COAST, FL 321645230
Phone: (386) 864-9146
Type: Mailing
Memorial Medical Parkway, Palm Coast, Flagler County, Florida, 32164, United States
PALM COAST, FL 321645999
Phone: (386) 586-4765
Type: Location
61 MEMORIAL MEDICAL PKWY STE 3816
PALM COAST, FL 321645982
Phone: (386) 586-1720
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 96 Open Payments records for all available years, with a total value of $1,847.
Total Amount is formed as General ($1,847) + Research ($0) + Ownership ($0) = $1,847.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($292).
Total Amount
$1,847
General + Research + Ownership
Payments
96
Total payment records
General Amount
$1,847
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $292 |
| Merck Sharp & Dohme LLC | $283 |
| Novo Nordisk Inc | $164 |
| Janssen Pharmaceuticals, Inc | $164 |
| Esperion Therapeutics, Inc. | $135 |
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: 2019-12-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191216002781 | I | Nurse Practitioner | FL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32164)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| - | FL |
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