DR. CHASE MICHAEL SERENO (AUD, CCC-A) – Audiologist, NPI 1700623683

DR. CHASE MICHAEL SERENO (AUD, CCC-A) is a healthcare provider. based in Louisville, Kentucky. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD, CCC-A. They hold a License No. 293066 (KY). The NPI Number for DR. CHASE MICHAEL SERENO (AUD, CCC-A) is 1700623683

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHASE MICHAEL SERENO (AUD, CCC-A)
NPI
1700623683
Phone
(315) 402-3754
Address
600 MARSHALL ST UNIT 104
Enumeration Date
9 July 2024
Last Update Date
9 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5025843573
Graduation Year
2024 (2 years ago)
PAC ID
4385183136
Group Practice PAC ID
2062451610
Professional Enrollment ID
I20240826001389
Address ID
KY402032793LO117XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

148 QUALIFIED AUDIOLOGIST in KY

Provider Addresses for DR. CHASE MICHAEL SERENO (AUD, CCC-A)

  • 600 MARSHALL ST UNIT 104

    LOUISVILLE, KY 402023637

    Phone: (315) 402-3754

    Type: Mailing

  • 117 E KENTUCKY ST

    LOUISVILLE, KY 402032793

    Phone: (502) 584-3573

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-08-26

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
I20240826001389IQualified AudiologistKYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40202)

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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: 2062451610View full group profile
NameSpecialtyState
-KY
-KY
Qualified AudiologistKY
Qualified AudiologistKY
Qualified AudiologistKY
Qualified AudiologistKY
Qualified AudiologistTX
Qualified AudiologistKY
Qualified AudiologistKY
-KY

Reviews

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Frequently asked questions

What identifier follows DR. CHASE MICHAEL SERENO (AUD, CCC-A) across health systems?
The NPI 1700623683 uniquely identifies DR. CHASE MICHAEL SERENO (AUD, CCC-A) in U.S. healthcare data.
Should I treat DR. CHASE MICHAEL SERENO (AUD, CCC-A) as an active provider?
Patients and plans typically see DR. CHASE MICHAEL SERENO (AUD, CCC-A) as active in the national extract.
What services align with DR. CHASE MICHAEL SERENO (AUD, CCC-A)'s listing?
DR. CHASE MICHAEL SERENO (AUD, CCC-A)'s public classification highlights Audiologist. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. CHASE MICHAEL SERENO (AUD, CCC-A)?
DR. CHASE MICHAEL SERENO (AUD, CCC-A) shows a connection to Louisville, Kentucky in registry-derived data.
Who maintains DR. CHASE MICHAEL SERENO (AUD, CCC-A)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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