JENNIFER PARK SEVERENKO – Certified Registered Nurse Anesthetist, NPI 1013474261

JENNIFER PARK SEVERENKO is a healthcare provider. based in Yorktown heights, New York. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 12.008590 (CT). The NPI Number for JENNIFER PARK SEVERENKO is 1013474261

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER PARK SEVERENKO
NPI
1013474261
Phone
(516) 582-9754
Address
3231 Poplar St
Enumeration Date
25 February 2019
Last Update Date
13 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2032052840
Graduation Year
2019 (7 years ago)
PAC ID
9931532157
Group Practice PAC ID
1153602453
Professional Enrollment ID
I20191202001993
Address ID
CT068105119DA40XXXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,475 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in NY

Provider Addresses for JENNIFER PARK SEVERENKO

  • 3231 Poplar St

    Yorktown Heights, NY 105982621

    Phone: (516) 582-9754

    Type: Location

  • Danbury Hospital, 24, Hospital Avenue, Germantown, Danbury, Fairfield County, Connecticut, 06810, United States

    DANBURY, CT 068106099

    Phone: (203) 739-7118

    Fax: (203) 749-9030

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-10-26

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
I20191202001993ICertified Registered Nurse Anesthetist (Crna)CTTBD
I20231026003387ICertified Registered Nurse Anesthetist (Crna)NYTBD

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 endoscope3232$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2322$0
00670Anesthesia for extensive surgery on spine1616$0
View full utilization report →

Insurance plans in this area (ZIP 10598)

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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: 1153602453View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YPA
Certified Registered Nurse Anesthetist (Crna)NY
-NY
A N E S T H E S I O L O G YNY
Anesthesiology, Addiction Medicine, Interventional Pain ManagementNY
Certified Registered Nurse Anesthetist (Crna)NY
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YNY
-NY
Anesthesiology, Pediatric MedicineNY

Reviews

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Frequently asked questions

Is JENNIFER PARK SEVERENKO listed with a National Provider Identifier?
Yes — JENNIFER PARK SEVERENKO has NPI 1013474261 on file in the registry.
Active or inactive — what applies to JENNIFER PARK SEVERENKO?
You should see JENNIFER PARK SEVERENKO as active in CMS-hosted NPPES data.
What expertise is attributed to JENNIFER PARK SEVERENKO?
JENNIFER PARK SEVERENKO's specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is JENNIFER PARK SEVERENKO associated with Yorktown Heights?
Public fields place JENNIFER PARK SEVERENKO around Yorktown Heights, New York. Always confirm the exact site before visiting.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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