Serita Scullark
NPI 1437958089ActiveIndividual· Nurse Practitioner· Chappaqua, NY
Nurse Practitioner with North Shore-Lij Medical PC and 1 other group, practicing in Chappaqua, New York. Enrolled in Medicare as practitioner - nurse practitioner and practitioner - nurse practitioner. Lists Phelps Hospital as a hospital affiliation.
Overview
| NPI | 1437958089 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 7, 2025 |
| Last updated in NPPES | Jun 17, 2025 |
| Certified by provider | Jun 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 312094 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NJ); Practitioner - Nurse Practitioner (NY) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- North Shore-Lij Medical PCStaten Island, NY · 6,440 clinicians
- Attentive Care General Practice of Medicine of Nj, PCStratford, NJ · 9 clinicians
Hospital affiliation
- Phelps HospitalSleepy Hollow, NY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner providers in Chappaqua
- 1386962975