ANDREW B SEVERANCE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1154358588

ANDREW B SEVERANCE (CRNA) is a healthcare provider. based in Camden, New Jersey. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 26NJ00281100 (NJ). The NPI Number for ANDREW B SEVERANCE (CRNA) is 1154358588

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW B SEVERANCE (CRNA)
NPI
1154358588
Phone
(856) 757-3836
Address
1600 Haddon Ave
Enumeration Date
28 June 2006
Last Update Date
17 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5706244777
Graduation Year
2004 (22 years ago)
PAC ID
5991753089
Group Practice PAC ID
1355247180
Professional Enrollment ID
I20080218000082
Address ID
PA179013885PO48XXXRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,122 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in NJ

Provider Addresses for ANDREW B SEVERANCE (CRNA)

  • 1600 Haddon Ave

    Camden, NJ 081033101

    Phone: (856) 757-3836

    Type: Location

  • 9701 VENTNOR AVE STE 201

    MARGATE CITY, NJ 084022222

    Phone: (609) 822-4242

    Fax: (609) 822-3211

    Type: Mailing

  • Cherry Hill Post Office, 1175, Marlkress Road, Deer Park, Cherry Hill Township, Camden County, New Jersey, 08003, United States

    CHERRY HILL, NJ 080020505

    Phone: (856) 755-1616

    Fax: (856) 755-0098

    Type: Mailing

  • Our Lady of Lourdes Medical Center, 1600, Haddon Avenue, Parkside, Camden, Camden County, New Jersey, 08103, United States

    CAMDEN, NJ 081033101

    Phone: (856) 757-3836

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-06-20 • Largest payer in this snapshot: Ardelyx, Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Ardelyx, Inc.$18
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: 2008-02-18

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050105000621ICertified Registered Nurse Anesthetist (Crna)NJTBD
I20080218000082ICertified Registered Nurse Anesthetist (Crna)PATBD

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
00811Anesthesia for other procedure on large bowel using an endoscope2626$0
01938Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance2424$0
01942Anesthesia for nerve modulation procedure spinal cord or repair of bone of spine of lower back accessed through skin using imaging guidance1717$0
00812Anesthesia for exam of colon using an endoscope1616$0
00300Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back1515$0
View full utilization report →

Insurance plans in this area (ZIP 08103)

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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: 1355247180View full group profile
NameSpecialtyState
Physician AssistantPA
-PA
Internal MedicinePA
-PA
Pediatric MedicinePA
O B S T E T R I C S/ G Y N E C O L O G YPA
N E U R O L O G YPA
Family PracticePA
-PA
Certified Registered Nurse Anesthetist (Crna)PA

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Frequently asked questions

What is ANDREW B SEVERANCE (CRNA)'s NPI number?
ANDREW B SEVERANCE (CRNA)'s NPI is 1154358588 — the number used across U.S. healthcare to identify this provider.
Is there an active status for ANDREW B SEVERANCE (CRNA)?
For scheduling context, ANDREW B SEVERANCE (CRNA) is shown as active in the registry.
What expertise is attributed to ANDREW B SEVERANCE (CRNA)?
ANDREW B SEVERANCE (CRNA)'s specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is ANDREW B SEVERANCE (CRNA) located near Camden?
ANDREW B SEVERANCE (CRNA) currently maps to Camden, New Jersey in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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