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SHANNEN MARIE SEVERSEN PA-C
NPI 1457895161
Physician Assistant - Surgical in Lake Worth, FL

Active since December 14, 2016PECOS Enrolled
3618 LANTANA ROAD, SUITE 200, LAKE WORTH, FL 33462(561) 968-2995(561) 968-0203 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 18, 2025, Dec 14, 2016 (2 updates tracked since 2016).

About Shannen Marie Seversen Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNEN MARIE SEVERSEN PA-C (NPI 1457895161) is an individual surgical provider in Lake Worth, Florida, licensed in Florida (PA2306) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1457895161
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSHANNEN MARIE SEVERSENCredential: PA-C
Location Address3618 LANTANA ROAD, SUITE 200Lake Worth, FL 33462-2247
Mailing Address3424 Diane DrBoynton Beach, FL 33435-8554 · (561) 371-9158 · Fax (561) 968-0203
Phone(561) 968-2995
Fax(561) 968-0203
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateDecember 14, 2016
Last NPPES UpdateDecember 18, 20252 updates tracked since enumeration
NPPES CertifiedDecember 18, 2025
✔ NPI 1457895161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in FL · PA2306
3618 LANTANA ROAD, Lake Worth, FL 33462
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannen Marie Seversen Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880163393
PECOS Enrollment IDI20260520000865
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CARI A MURRY P.A.
Physician Assistant (Medical)
3618 LANTANA ROAD, SUITE 201
LAKE WORTH, FL 33462
Palm Beach County (561) 296-2220

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 Shannen Seversen's NPI number?

The NPI number for Shannen Seversen is 1457895161. It was assigned to this individual provider in the NPPES registry on December 14, 2016.

Where is Shannen Seversen located?

Shannen Seversen practices at 3618 Lantana Road Suite 200, Lake Worth, FL 33462. The listed phone number is (561) 968-2995.

What is Shannen Seversen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Shannen Seversen enrolled in Medicare?

Yes. Shannen Seversen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannen Seversen was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.