KATIE SERRA (PA) – Physician Assistant, NPI 1174910269

KATIE SERRA (PA) is a healthcare provider. based in Boston, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA5358 (MA). The NPI Number for KATIE SERRA (PA) is 1174910269

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
KATIE SERRA (PA)
NPI
1174910269
Phone
(617) 724-4100
Address
55 FRUIT ST
Enumeration Date
16 April 2015
Last Update Date
4 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4015866000
Graduation Year
2015 (11 years ago)
PAC ID
8628387172
Group Practice PAC ID
7012155112
Professional Enrollment ID
I20161012001769
Address ID
RI028912922WE25XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

5,093 PHYSICIAN ASSISTANT in MA

Provider Addresses for KATIE SERRA (PA)

  • 55 FRUIT ST

    WHITE 1

    BOSTON, MA 021142621

    Phone: (617) 724-4100

    Fax: (617) 726-7415

    Type: Location

  • 111 ARLINGTON AVE

    PROVIDENCE, RI 029063211

    Phone: (401) 419-4764

    Type: Mailing

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: 2019-01-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20161012001769IPhysician AssistantRITBD
I20190104002564IPhysician AssistantCTTBD

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
99284Emergency department visit with moderate level of medical decision making106101$0
99283Emergency department visit with low level of medical decision making5756$0
99285Emergency department visit with high level of medical decision making4444$0
99282Emergency department visit with straightforward medical decision making2525$0
View full utilization report →

Insurance plans in this area (ZIP 02114)

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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: 7012155112View full group profile

Reviews

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Frequently asked questions

Does KATIE SERRA (PA) have a public NPI I can cite?
Public records show KATIE SERRA (PA) under NPI 1174910269.
Is KATIE SERRA (PA) currently accepting referrals based on NPI status?
Registry metadata lists KATIE SERRA (PA) as active.
How should patients interpret KATIE SERRA (PA)'s specialty?
The extract shows Physician Assistant for KATIE SERRA (PA). Clinical services aligned with this taxonomy classification.
Which community is linked to KATIE SERRA (PA)?
KATIE SERRA (PA) shows a connection to Boston, Massachusetts in registry-derived data.
Who maintains KATIE SERRA (PA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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