STEPHANIE L SEVERSON (PA-C) – Physician Assistant, NPI 1700264314

STEPHANIE L SEVERSON (PA-C) is a healthcare provider. based in Duluth, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 0969 (ND). The NPI Number for STEPHANIE L SEVERSON (PA-C) is 1700264314

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE L SEVERSON (PA-C)
NPI
1700264314
Phone
Not provided
Address
400 E 3RD ST
Enumeration Date
14 May 2015
Last Update Date
26 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7015322458
Graduation Year
2019 (7 years ago)
PAC ID
7012238397
Group Practice PAC ID
1153783246
Professional Enrollment ID
I20190823001121
Address ID
ND581047766FA3625XSXXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:11State licenses:2Digital endpointsOther names

496 PHYSICIAN ASSISTANT in ND

Provider Addresses for STEPHANIE L SEVERSON (PA-C)

  • 400 E 3RD ST

    DULUTH, MN 558051951

    Phone:

    Type: Mailing

  • 3000 32ND AVE S

    FARGO, ND 581036132

    Phone: (701) 364-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $126.

Total Amount is formed as General ($126) + Research ($0) + Ownership ($0) = $126.

Last reported payment date: 2024-11-28 • Largest payer in this snapshot: Novo Nordisk Inc ($32).

Total Amount

$126

General + Research + Ownership

Payments

8

Total payment records

General Amount

$126

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-08-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190823001121IPhysician AssistantNDTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7751$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4441$0
99214Established patient office or other outpatient visit, 30-39 minutes4339$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1913$0
99213Established patient office or other outpatient visit, 20-29 minutes1817$0
View full utilization report →

Insurance plans in this area (ZIP 55805)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153783246View full group profile
NameSpecialtyState
Nurse PractitionerND
Physician AssistantMN
Nurse PractitionerND
Registered Dietitian Or Nutrition ProfessionalSD
Physician AssistantND

Reviews

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Frequently asked questions

What federal number belongs to STEPHANIE L SEVERSON (PA-C)?
The federal identifier for STEPHANIE L SEVERSON (PA-C) is NPI 1700264314.
Is STEPHANIE L SEVERSON (PA-C)'s NPI currently valid?
The extract we use shows STEPHANIE L SEVERSON (PA-C) as active.
What kind of provider is STEPHANIE L SEVERSON (PA-C)?
The page reflects Physician Assistant for STEPHANIE L SEVERSON (PA-C). Clinical services aligned with this taxonomy classification.
Where is STEPHANIE L SEVERSON (PA-C)'s primary listing?
We display Duluth, Minnesota because that is what the record indicates for STEPHANIE L SEVERSON (PA-C).
What if Duluth, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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