SERENA FERRIS (PA) – Physician Assistant, NPI 1013559863

SERENA FERRIS (PA) is a healthcare provider. based in New york, New York. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA9115367 (FL). The NPI Number for SERENA FERRIS (PA) is 1013559863

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
SERENA FERRIS (PA)
NPI
1013559863
Phone
(212) 203-1999
Address
165 E 66TH ST APT 15G
Enumeration Date
14 October 2019
Last Update Date
24 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8772667768
Graduation Year
2019 (7 years ago)
PAC ID
5799110078
Group Practice PAC ID
3678984937
Professional Enrollment ID
I20220204000500
Address ID
FL339126008FO16461AVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Digital endpointsOther names

13,243 PHYSICIAN ASSISTANT in NY

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Provider Addresses for SERENA FERRIS (PA)

  • 165 E 66TH ST APT 15G

    NEW YORK, NY 100656152

    Phone: (212) 203-1999

    Type: Mailing

  • Montefiore Medical Center - Wakefield Campus, 600, East 233rd Street, The Bronx, Bronx County, New York, 10466, United States

    BRONX, NY 104662604

    Phone: (718) 920-9008

    Type: Location

  • 13770 Plantation Rd # 103

    Fort Myers, FL 339124460

    Phone: (941) 444-0011

    Fax: (603) 952-3900

    Type: Location

  • 8926 77TH TER E

    UNIT 101

    LAKEWOOD RANCH, FL 342026417

    Phone: (941) 264-1153

    Fax: (941) 213-0382

    Type: Mailing

  • 8926 77TH TER E UNIT 101

    LAKEWOOD RANCH, FL 342026417

    Phone: (941) 907-0222

    Fax: (941) 907-0493

    Type: Location

  • 400 N CATTLEMEN RD APT 206

    SARASOTA, FL 342326491

    Phone: (212) 203-1999

    Type: Mailing

  • 1952 FIELD RD

    SARASOTA, FL 342312316

    Phone: (941) 926-7546

    Fax: (941) 926-8811

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 63 Open Payments records for all available years, with a total value of $2,276.

Total Amount is formed as General ($2,276) + Research ($0) + Ownership ($0) = $2,276.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: ABBVIE INC. ($692).

Total Amount

$2,276

General + Research + Ownership

Payments

63

Total payment records

General Amount

$2,276

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

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: 2022-02-04

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
I20220204000500IPhysician AssistantFLTBD

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
17003Destruction of precancer skin growth, 2-14 growths1,299288$0
99213Established patient office or other outpatient visit, 20-29 minutes770562$0
17000Destruction of precancer skin growth, 1 growth504396$0
11102Biopsy of related skin growth, first growth493400$0
99214Established patient office or other outpatient visit, 30-39 minutes353289$0
View full utilization report →

Insurance plans in this area (ZIP 10065)

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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: 3678984937View full group profile
NameSpecialtyState
Dermatology, Micrographic Dermatologic Surgery (Mds)FL
Nurse PractitionerFL
P A T H O L O G YFL
Physician AssistantFL
Nurse PractitionerFL
Physician AssistantFL
Nurse PractitionerFL
Physician AssistantFL
Dermatology, PathologyCT
Physician AssistantFL

Reviews

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Frequently asked questions

How is SERENA FERRIS (PA) identified in CMS data?
CMS-hosted NPPES data lists SERENA FERRIS (PA) with NPI 1013559863.
Is SERENA FERRIS (PA) still practicing?
SERENA FERRIS (PA) is currently listed as active in the public NPI registry.
What is SERENA FERRIS (PA)'s primary classification?
Physician Assistant is the headline specialty for SERENA FERRIS (PA) here. Clinical services aligned with this taxonomy classification.
What address line appears for SERENA FERRIS (PA)?
SERENA FERRIS (PA)'s geographic hint is New York, New York in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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