PORT ST LUCIE PAIN MANAGEMENT SPECIALISTS INC
NPI 1114786001
Clinic/Center - Pain in Port St Lucie, FL
About Port St Lucie Pain Management Specialists Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PORT ST LUCIE PAIN MANAGEMENT SPECIALISTS INC (NPI 1114786001), doing business as Port St Lucie Pain Management Specialists, is a healthcare organization registered as a pain in Port St Lucie, Florida and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through October 14, 2028 and lists Shannen Seversen, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Port St Lucie Pain Management Specialists Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Port St Lucie Pain Management Specialists Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D1090608
Port St Lucie Pain Management · Port Saint Lucie, FLFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Port St Lucie Pain Management Specialists Inc's NPI number?
The NPI number for Port St Lucie Pain Management Specialists Inc is 1114786001. It was assigned to this organization in the NPPES registry on March 14, 2024. The provider is doing business as Port St Lucie Pain Management Specialists.
Where is Port St Lucie Pain Management Specialists Inc located?
Port St Lucie Pain Management Specialists Inc is located at 8235 S Us Highway 1, Port St Lucie, FL 34952. The listed phone number is (772) 335-7246.
What is Port St Lucie Pain Management Specialists Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.
Is Port St Lucie Pain Management Specialists Inc enrolled in Medicare?
Yes. Port St Lucie Pain Management Specialists Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Port St Lucie Pain Management Specialists Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Anesthesiology) reassigns their Medicare billing to Port St Lucie Pain Management Specialists Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Port St Lucie Pain Management Specialists Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D1090608) is associated with this NPI, valid through October 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Port St Lucie Pain Management Specialists Inc was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Port St Lucie Pain Management Specialists Inc · NPI 1114786001
Pain organization in Port St Lucie, Florida. Organization record, active in the CMS NPPES registry since March 14, 2024.
## Identity
- **NPI:** 1114786001 (Entity type: Organization)
- **Enumerated:** March 14, 2024
- **Primary specialty:** Clinic/Center - Pain · taxonomy 261QP3300X
- **Also known as:** Port St Lucie Pain Management Specialists (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Shannen Seversen, PRESIDENT
## Practice location
- **Address:** 8235 S US HIGHWAY 1, Port St Lucie, FL 34952-2848
- **Phone:** (772) 335-7246 · **Fax:** (772) 335-7202
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Anesthesiology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 12, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114786001) · Data from the CMS NPPES public registry.