CRYSTAL LYNN SEVERINO (NP-C) – Family Nurse Practitioner, NPI 1104127117
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,469 NURSE PRACTITIONER in PA
Provider Addresses for CRYSTAL LYNN SEVERINO (NP-C)
2422 LAKE AVE
ASHTABULA, OH 440044985
Phone: (440) 997-2262
Type: Mailing
1012 WATER ST
MEADVILLE, PA 163353468
Phone: (814) 333-2001
Fax: (814) 333-6236
Type: Location
3315 N RIDGE RD E STE 700A
ASHTABULA, OH 440044300
Phone: (440) 484-2130
Type: Location
210 N Mercer St
Linesville, PA 164249232
Phone: (814) 683-4636
Type: Location
210 N MERCER ST
LINESVILLE, PA 164249232
Phone: (814) 683-4636
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 $121.
Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.
Last reported payment date: 2023-06-08 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($121).
Total Amount
$121
General + Research + Ownership
Payments
1
Total payment records
General Amount
$121
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $121 |
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: 2021-11-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211105002026 | I | Nurse Practitioner | OH | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 34 | 33 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 29 | 29 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 22 | 22 | $0 |
Insurance plans in this area (ZIP 44004)
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