LACEY SEVERSON
NPI 1265064935
Social Worker - Clinical in Minneapolis, MN
About Lacey Severson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LACEY SEVERSON (NPI 1265064935) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (26356) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lacey Severson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Lacey Severson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Minneapolis, MN 55403
- Reassigned Medicare billing, Minnesota enrollment
- 2,527 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Park Nicollet Methodist Hospital
Acute Care Hospitals · Saint Louis Park, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55404
Frequently 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 Lacey Severson's NPI number?
The NPI number for Lacey Severson is 1265064935. It was assigned to this individual provider in the NPPES registry on February 10, 2020.
Where is Lacey Severson located?
Lacey Severson practices at 2120 Clinton Ave, Minneapolis, MN 55404. The listed phone number is (952) 405-7190.
What is Lacey Severson's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Lacey Severson enrolled in Medicare?
Yes. Lacey Severson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Lacey Severson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lacey Severson reassigns Medicare benefits to Park Nicollet Clinic (Minneapolis, MN). The 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 Lacey Severson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lacey Severson accept?
Health plans from HealthPartners list Lacey Severson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Lacey Severson affiliated with any hospitals?
According to CMS data, Lacey Severson is affiliated with Park Nicollet Methodist Hospital.
When was this NPI record last updated?
The NPPES record for Lacey Severson was last updated on February 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Lacey Severson · NPI 1265064935
Clinical provider in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since February 10, 2020.
## Identity
- **NPI:** 1265064935 (Entity type: Individual)
- **Enumerated:** February 10, 2020
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 26356 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2120 CLINTON AVE, Minneapolis, MN 55404-2649
- **Phone:** (952) 405-7190
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Park Nicollet Clinic (NPI 1912315144, Minneapolis, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** February 10, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1265064935) · Data from the CMS NPPES public registry.