Crystal Lynn Severino, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.0028240 Issued in OH

Practice address

3315 N Ridge Rd E Ste 700a
Ashtabula, OH 44004-4300

Phone

(440) 484-2130

NPI assigned

Nov 7, 2010

Last updated

Mar 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 1, 2026 through Oct 1, 2028

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cseverino112788@ehrdirect.uhhospitals.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emergency Professional Services, Inc.

  dba Emergency Professional Services of Ohio, Inc.

  • Emergency Medicine Physician
  • Seaman, OH
  • NPI 1093762353

  Family

  Medicare reassignment NPD
• Uh Regional Hospitals

  dba Geauga House Providers

  • Nurse Practitioner
  • Chardon, OH
  • NPI 1962886002
  Medicare reassignment NPD
• University Hospitals Conneaut Medical Center

  • Nurse Practitioner
  • Conneaut, OH
  • NPI 1831545177
  Medicare reassignment NPD
• University Hospitals Geneva Medical Center

  • Nurse Practitioner
  • Geneva, OH
  • NPI 1700261807
  Medicare reassignment NPD
• Uh Regional Hospitals

  dba UH Geauga Medical Center, A Campus of UH Regional Hospitals

  • Psychiatric Hospital Unit
  • Chardon, OH
  • NPI 1780762120
  NPD
• University Hospitals Conneaut Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Conneaut, OH
  • NPI 1154408250
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1104127117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 WATER ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353468",
            "telephone_number": "814-333-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 N RIDGE RD E STE 700A",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440044300",
            "telephone_number": "440-484-2130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 N Mercer St",
            "address_purpose": "LOCATION",
            "city": "Linesville",
            "state": "PA",
            "postal_code": "164249232",
            "country_code": "US",
            "telephone_number": "814-683-4636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEVERINO",
        "first_name": "CRYSTAL",
        "middle_name": "LYNN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-07",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP023098",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0028240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Jon Seigman, LPCC
• Alicia Serafino, PA-C
• Doris Ann Sesler
• Christi Seth, LISW
• Melissa J. Severino-Hoza, D.D.S.
• Gregory Carl Seymour, D.D.S.
• Sampurna Shakya, M.D.
• Jason Corbett Shaw
• Dennis Anthony Shepard, LPTA
• Brandi Sherman

• Family Nurse Practitioner in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.