MRS. SEVERIA ADOLPHUS NURSE PRACTITIONER
NPI 1992939052
Nurse Practitioner - Psychiatric/Mental Health in Saint Clair Shores, MI

Active since May 05, 2009PECOS EnrolledAccepts Medicare Assignment
31235 HARPER AVE STE 244, SAINT CLAIR SHORES, MI 48082(313) 334-8402 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 12, 2021, Jan 7, 2021, Dec 1, 2020 and 1 more (4 updates tracked since 2017).

About Mrs. Severia Adolphus Nurse Practitioner NPPES

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

MRS. SEVERIA ADOLPHUS NURSE PRACTITIONER (NPI 1992939052) is an individual psychiatric/mental health provider in Saint Clair Shores, Michigan, licensed in Michigan (4704170742) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2015).

NPPES Registry Identity

NPI1992939052
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. SEVERIA ADOLPHUSCredential: NURSE PRACTITIONER
Location Address31235 HARPER AVE STE 244Saint Clair Shores, MI 48082-1425
Mailing Address31235 Harper Ave Ste 244Saint Clair Shores, MI 48082-1425 · (313) 915-9138
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 2015
Enumeration DateMay 5, 2009
Last NPPES UpdateApril 12, 20214 updates tracked since enumeration
NPPES CertifiedApril 12, 2021
NPI 1992939052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MI · 4704170742
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinical Nurse Specialist · Psychiatric/Mental Health, AdultTaxonomy 364SP0809X · License 4704170742 (MI)
31235 HARPER AVE STE 244, Saint Clair Shores, MI 48082

Accepted 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

Mrs. Severia Adolphus Nurse Practitioner 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 ID3274801246
PECOS Enrollment IDI20170615000548, I20211110002074
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48082 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Severia Adolphus's NPI number?

The NPI number for Severia Adolphus is 1992939052. It was assigned to this individual provider in the NPPES registry on May 5, 2009.

Where is Severia Adolphus located?

Severia Adolphus practices at 31235 Harper Ave Ste 244, Saint Clair Shores, MI 48082. The listed phone number is (313) 334-8402.

What is Severia Adolphus's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Severia Adolphus enrolled in Medicare?

Yes. Severia Adolphus 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 Severia Adolphus accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 2 other insurers list Severia Adolphus 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.

When was this NPI record last updated?

The NPPES record for Severia Adolphus was last updated on April 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.