Nicole Severts, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP 4955 Issued in MN

Practice address

800 Bemidji Ave N
Bemidji, MN 56601-3054

Phone

(218) 308-2400

NPI assigned

Jan 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN, OR2 enrollments

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.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Uptown Providers PCGroup PAC ID 4284891243, 43 clinicians

Maxem Health Urgent Care Lake OswegoGroup PAC ID 9830583905, 7 clinicians

Peacehealth Networks on Demand LLCGroup PAC ID 1759731383, 197 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations (25 of 50)

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22190/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/30646/brand/1/csg/1/fhir/r4

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

• Maxem Health Urgent Care Lake Oswego

  • Urgent Care Clinic/Center
  • Lake Oswego, OR
  • NPI 1902478225
  Medicare reassignment Care Compare group NPD
• Peacehealth Networks on Demand, LLC

  dba Zoom Management

  • General Practice Physician
  • Tigard, OR
  • NPI 1023582178
  Medicare reassignment Care Compare group NPD
• Uptown Providers PC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Tigard, OR
  • NPI 1346903531
  Medicare reassignment Care Compare group
• Unity Family Healthcare

  dba Little Falls Orthopedics

  • Orthopaedic Surgery Physician
  • Little Falls, MN
  • NPI 1326234006
  Medicare reassignment NPD
• Unity Family Healthcare

  dba St. Gabriel's Hospital

  • Critical Access Hospital
  • Little Falls, MN
  • NPI 1780630939
  Medicare reassignment NPD
• Legacy Clinics LLC

  • Clinic/Center
  • Portland, OR
  • NPI 1902827272
  Medicare reassignment NPD
• Northwest Medical Foundation of Tillamook

  dba Adventist Health Tillamook

  • Critical Access Hospital
  • Tillamook, OR
  • NPI 1871575225
  Medicare reassignment NPD
• Express Care Or PC

  dba Providence Express Care

  • General Practice Physician
  • Portland, OR
  • NPI 1205499126
  Medicare reassignment
• Unity Family Healthcare

  dba CHI Health at Home

  • Home Health Agency
  • Little Falls, MN
  • NPI 1952329047
  NPD
• Legacy Clinics LLC

  dba Legacy Medical Group Firwood

  • Rural Health Clinic/Center
  • Sandy, OR
  • NPI 1730472192
  NPD
• Northwest Medical Foundation of Tillamook

  dba Adventist Health Medical Office - Sheridan

  • Critical Access Hospital
  • Sheridan, OR
  • NPI 1053873919
  NPD
• Northwest Medical Foundation of Tillamook

  dba Adventist Health Bayshore Medical Pacific City

  • Rural Health Clinic/Center
  • Pacific City, OR
  • NPI 1427399294
  NPD

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1184161754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2928",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972082928",
            "telephone_number": "425-207-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BEMIDJI AVE N",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013054",
            "telephone_number": "218-308-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11995 SE Sunnyside Rd",
            "address_purpose": "LOCATION",
            "city": "Happy Valley",
            "state": "OR",
            "postal_code": "97015",
            "country_code": "US",
            "telephone_number": "888-227-3312",
            "fax_number": "971-282-0083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEVERTS",
        "first_name": "NICOLE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-20",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "CNP 4955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremiah Sellheim, PHARMD
• Martin Harlen Sellner
• William Cody Sessions, M.D.
• Seth D. Tyberg, D.C., P.a. (Spinal Health Professionals)
• Jody Severson
• Alexis June Sewall
• Mark A Shanfeld, M.D.
• McKenna Mohr Shanfeld
• Aviskar Sharma
• Annetta M Shaw, RN,BSN,CRNFA

• Family Nurse Practitioner in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.
• 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.