Shannen Marie Seversen, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA2306 Issued in FL

Practice address

3618 Lantana Road
Suite 200
Lake Worth, FL 33462-2247

Phone

(561) 968-2995

Fax

(561) 968-0203

NPI assigned

Dec 14, 2016

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 FL

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 1

Specialty

Physician Assistant

Education

Other, 1989

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Palm Beach Pain Management Specialists Inc

  dba Palm Beach Pain Management Specialists

  • Pain Clinic/Center
  • Boynton Beach, FL
  • NPI 1881453777
  Medicare reassignment NPD Authorized official
• Port St Lucie Pain Management Specialists Inc

  dba Port St Lucie Pain Management Specialists

  • Pain Clinic/Center
  • Port St Lucie, FL
  • NPI 1114786001
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1457895161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3424 DIANE DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334358554",
            "telephone_number": "561-371-9158",
            "fax_number": "561-968-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3618 LANTANA ROAD",
            "address_2": "SUITE 200",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334622247",
            "telephone_number": "561-968-2995",
            "fax_number": "561-968-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERSEN",
        "first_name": "SHANNEN",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-14",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA2306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serenity Row.Inc.
• Idalmys Serradet Alonso
• Dana Renee Serrano, M.P.T.
• Service Healing Clinic Inc.
• Service Pain Healing Labra Inc
• SFM Surgery V LLC
• Nirmala Shanmugam, MD
• Erin S Shannon, OD
• Timothy M. Shannon, P.T.
• Michael Shapiro

• Surgical Physician Assistant in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.