MRS. SEVERIA ADOLPHUS (NURSE PRACTITIONER) – Psychiatric/Mental Health Nurse Practitioner, NPI 1992939052
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
Provider Addresses for MRS. SEVERIA ADOLPHUS (NURSE PRACTITIONER)
31235 HARPER AVE STE 244
SAINT CLAIR SHORES, MI 480821425
Phone: (313) 915-9138
Type: Mailing
West McNichols Road, Detroit, Wayne County, Michigan, 48219, United States
DETROIT, MI 482193653
Phone: (313) 531-2500
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $724.
Total Amount is formed as General ($724) + Research ($0) + Ownership ($0) = $724.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($251).
Total Amount
$724
General + Research + Ownership
Payments
9
Total payment records
General Amount
$724
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $251 |
| Medtronic, Inc. | $135 |
| ITI, Inc. | $125 |
| Teva Pharmaceuticals USA, Inc. | $118 |
| Axsome Therapeutics, Inc. | $46 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-11-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170615000548 | I | Nurse Practitioner | MI | TBD |
| I20211110002074 | I | Nurse Practitioner | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48082)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | MI | |
| Nurse Practitioner | MI |
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