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JUSTIN SEVERANCE
NPI 1518413244
Physician Assistant - Surgical in Detroit, MI

Active since September 01, 2016PECOS EnrolledAccepts Medicare Assignment
2799 W GRAND BLVRD, DETROIT, MI 48202(313) 916-2695 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 14, 2021, Mar 2, 2021, Feb 10, 2021 and 1 more (4 updates tracked since 2016).

About Justin Severance NPPES

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

JUSTIN SEVERANCE (NPI 1518413244) is an individual surgical provider in Detroit, Michigan, licensed in Montana (MED-PAC-LIC-99519) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS, is affiliated with St Vincent Healthcare, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2016).

NPPES Registry Identity

NPI1518413244
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJUSTIN SEVERANCE
Location Address2799 W GRAND BLVRDDetroit, MI 48202-4820
Mailing Address1026 Np Ave N, Unit 110Fargo, ND 58102
Phone(313) 916-2695
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2016
Enumeration DateSeptember 1, 2016
Last NPPES UpdateDecember 14, 20214 updates tracked since enumeration
NPPES CertifiedApril 2, 2021
✔ NPI 1518413244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MT · MED-PAC-LIC-99519
Also ListedPhysician AssistantTaxonomy 363A00000X
2799 W GRAND BLVRD, Detroit, MI 48202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Justin Severance 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.

PECOS PAC ID6800183237
PECOS Enrollment IDI20210713002314
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Vincent Healthcare

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number270049
Location1233 N 30th StBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

Holy Rosary Healthcare

Critical Access Hospitals · Miles City, MT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number271347
Location2600 Wilson StMiles City, MT 59301 · Custer County
Emergency services Birthing friendly

Cody Regional Health

Critical Access Hospitals · Cody, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number531312
Location707 Sheridan AvenueCody, WY 82414 · Park County
Emergency services

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 Justin Severance's NPI number?

The NPI number for Justin Severance is 1518413244. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Where is Justin Severance located?

Justin Severance practices at 2799 W Grand Blvrd, Detroit, MI 48202. The listed phone number is (313) 916-2695.

What is Justin Severance's specialty?

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

Is Justin Severance enrolled in Medicare?

Yes. Justin Severance 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.

What insurance does Justin Severance accept?

Health plans from Blue Cross and Blue Shield of Montana and Mountain Health CO-OP list Justin Severance 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 Justin Severance affiliated with any hospitals?

According to CMS data, Justin Severance is affiliated with St Vincent Healthcare, Holy Rosary Healthcare and Cody Regional Health.

When was this NPI record last updated?

The NPPES record for Justin Severance was last updated on December 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.