Port St Lucie Pain Management Specialists Inc

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

PORT ST LUCIE PAIN MANAGEMENT SPECIALISTS INC

Doing business as

Port St Lucie Pain Management Specialists

Practice address

8235 S US Highway 1
Port St Lucie, FL 34952-2848

Phone

(772) 335-7246

Fax

(772) 335-7202

NPI assigned

Mar 14, 2024

Last updated

Feb 12, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Shannen SeversenNPI 1457895161

Title

President

Phone

(561) 292-3747

Specialties & licenses 2

Addresses

Other names 1

• Port St Lucie Pain Management Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shannen Marie Seversen, PA-C

  • Surgical Physician Assistant
  • Lake Worth, FL
  • NPI 1457895161
  Medicare reassignment NPD Authorized official
• James M Kryvicky, MD

  • Anesthesiology Physician
  • Royal Oak, MI
  • NPI 1558328922

  FL

  Medicare reassignment

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1114786001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8235 S US HIGHWAY 1",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349522848",
            "telephone_number": "772-335-7246",
            "fax_number": "772-335-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8235 S US HIGHWAY 1",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349522848",
            "telephone_number": "772-335-7246",
            "fax_number": "772-335-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT ST LUCIE PAIN MANAGEMENT SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "SEVERSEN",
        "authorized_official_first_name": "SHANNEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-292-3747",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Port St Lucie Pain Management Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Port St Lucie Pain Management Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Louis Porcaro, M.D.
• Port St Lucie Anesthesia LLC
• Port St Lucie Nursing LLC (The Palms Nursing and Rehab at Port St. Lucie)
• Port St Lucie Operating Corp (Port St. Lucie Nursing & Restorataive Care Center)
• Port St Lucie Pain Management PLLC
• Port St Lucie Retirement Investors LLC
• Port St Lucie Surgery Center LTD
• Port St. Lucie FL Opco LLC
• Port St. Lucie Operations, LLC (Life Care Center of Port St. Lucie)
• Felicia Porter

• Pain Clinic/Center in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Pain Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.