Active NPI 1124449368 Individual Practitioner Male Practitioner

Fermin Serna , FNP

Nurse Practitioner • San Angelo, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Fermin Serna, FNP is a certified Nurse Practitioner practicing in San Angelo, TX. With approximately 13 years of clinical experience since completing medical education in 2013, Fermin Serna delivers high-quality medical care to the local community at 102 N MAGDALEN ST.

Fermin Serna is affiliated with Shannon Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, transitional care management services for problem of high complexity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

102 N Magdalen St

San Angelo, TX 769035400

Telephone 3256581511

Fax 3254812166

Associated Practice Facility / Clinic

🏢 Regional Cancer Treatment Center Ltd Facility NPI 1801889431

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in San Angelo, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs +1.4 yrs vs City Avg

City Avg: 11.6 Yrs

State Avg: 9.7 Yrs

Regional Practice Density

38 Specialists

Practicing in San Angelo, TX (4894 Statewide)

Telehealth Adoption Rate

18.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Serna (13 Years) 13 Yrs

San Angelo Specialty Average (11.6 Years) 11.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	69	$207.00	$105.54
36415 Insertion of needle into vein for collection of blood sample	49	43	$8.00	$7.84
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$140.00	$74.56
99496 Transitional care management services for problem of high complexity	18	17	$439.00	$228.27
99495 Transitional care management services for problem of at least moderate complexity	13	13	$311.00	$168.56
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$198.00	$68.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	107	107	$330.00	$138.60
99497 Advance care planning, first 30 minutes	62	62	$166.00	$70.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	53	53	$230.00	$108.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	41	$207.00	$106.27
36415 Insertion of needle into vein for collection of blood sample	28	26	$8.00	$2.96
99498 Advance care planning by the physician or other qualified health care professional	27	27	$144.00	$60.72
99496 Transitional care management services for problem of high complexity	26	26	$439.00	$231.30
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$140.00	$75.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	85	$207.00	$107.69
36415 Insertion of needle into vein for collection of blood sample	54	48	$8.00	$3.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$318.00	$139.76
99496 Transitional care management services for problem of high complexity	22	22	$439.00	$233.08
99495 Transitional care management services for problem of at least moderate complexity	20	20	$311.00	$172.09
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$140.00	$76.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	193	154	$207.00	$90.69
36415 Insertion of needle into vein for collection of blood sample	82	76	$8.00	$2.98
80053 Blood test, comprehensive group of blood chemicals	52	52	$67.00	$10.51
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	43	42	$34.00	$7.75
84443 Blood test, thyroid stimulating hormone (TSH)	42	39	$86.00	$16.72
99496 Transitional care management services for problem of high complexity	31	31	$439.00	$204.43
80061 Blood test, lipids (cholesterol and triglycerides)	28	28	$81.00	$13.34
81001 Manual urinalysis test with examination using microscope, automated	22	20	$24.00	$3.16
83036 Hemoglobin A1C level	22	22	$58.00	$9.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$318.00	$137.74
99495 Transitional care management services for problem of at least moderate complexity	18	18	$311.00	$154.81
G0008 Administration of influenza virus vaccine	11	11	$17.00	$16.19
83880 Natriuretic peptide (heart and blood vessel protein) level	11	11	$116.00	$38.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	241	177	$207.00	$89.63
36415 Insertion of needle into vein for collection of blood sample	95	76	$8.00	$2.94
80053 Blood test, comprehensive group of blood chemicals	44	44	$67.00	$11.51
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	40	40	$330.00	$141.84
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	36	34	$22.00	$7.04
99497 Advance care planning, first 30 minutes	33	33	$83.00	$69.51
99496 Transitional care management services for problem of high complexity	33	31	$439.00	$191.02
84443 Blood test, thyroid stimulating hormone (TSH)	30	28	$86.00	$18.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$318.00	$136.22
99495 Transitional care management services for problem of at least moderate complexity	21	20	$311.00	$135.31
G0008 Administration of influenza virus vaccine	20	20	$15.60	$14.68
83036 Hemoglobin A1C level	20	20	$58.00	$10.57
80048 Blood test, basic group of blood chemicals (calcium, total)	18	15	$56.00	$9.21
80061 Blood test, lipids (cholesterol and triglycerides)	16	16	$81.00	$14.58
81001 Manual urinalysis test with examination using microscope, automated	13	12	$24.00	$3.45
90662 Influenza vaccine split virus, preservative free	12	12	$85.00	$54.67
82306 Vitamin d-3 level	11	11	$196.00	$32.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	64	$207.00	$86.83
36415 Insertion of needle into vein for collection of blood sample	38	35	$8.00	$2.89
80053 Blood test, comprehensive group of blood chemicals	21	19	$67.00	$12.36
99495 Transitional care management services for problem of at least moderate complexity	21	20	$311.00	$134.43
G0008 Administration of influenza virus vaccine	20	20	$10.00	$9.80
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	19	18	$22.00	$7.54
90662 Influenza vaccine split virus, preservative free	18	18	$85.00	$52.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$318.00	$135.33
99496 Transitional care management services for problem of high complexity	11	11	$439.00	$190.39
84443 Blood test, thyroid stimulating hormone (TSH)	11	11	$86.00	$19.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	357	191	$109.49	$86.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	53	31	$122.55	$59.52
99231 Follow-up hospital inpatient care per day, typically 15 minutes	43	16	$40.47	$32.36
36415 Insertion of needle into vein for collection of blood sample	20	20	$3.00	$2.94
87641 Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique	17	17	$51.80	$45.81
99239 Hospital discharge day management, more than 30 minutes	14	14	$209.00	$88.39
80048 Blood test, basic group of blood chemicals (calcium, total)	14	14	$11.59	$11.36
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$81.49	$54.78
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	13	13	$10.65	$10.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$190.28	$112.72

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX AP124876

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Certification

F1013170 (TX)

Hospital & Practice Group Affiliations

Shannon Clinic

120 E Harris Ave, San Angelo, TX 769035904

Phone: 3257476741

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Maegin Carlile , FNP

Nurse Practitioner

NPI 1003168055

Family Nurse Practitioner

Dr. Irvin Zeitler , DO

Family Medicine

NPI 1003856451

Doctor of Osteopathic Medicine (D.O.)

Dr. Charles Greeson , MD

Dermatology

NPI 1003919994

Doctor of Medicine (M.D.)

Lance Ayers , PT

Physical Therapist

NPI 1013396597

Physical Therapist

Dr. Robert Carsner , MD

Internal Medicine

NPI 1013901032

Doctor of Medicine (M.D.)

Dr. Scott Westmoreland , DPM

Podiatrist

NPI 1023095783

Doctor of Podiatric Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 22, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 22, 2016

Registered at 102 N MAGDALEN ST, SAN ANGELO, TX 769035400 (Tel: 3256581511)

📍

Updated Business Mailing Address September 22, 2016

Registered at PO BOX 22000, SAN ANGELO, TX 769027200 (Tel: 3256581511)

👤

Provider Name / Credentials Updated September 22, 2016

Recorded as FERMIN SERNA, FNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2016

Nurse Practitioner (License #AP124876 in TX)

🟢

Initial NPI Registration & Enumeration December 13, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1124449368

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 13, 2013

Last Update: September 22, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 22000

San Angelo, TX 769027200

Phone: 3256581511

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.