Individual provider Active NPI

Carline Severe, APRN

  • General Practice Registered Nurse
  • Boynton Beach, FL
National Provider Identifier
1588223275
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
11002647 Issued in FL
Practice address
11211 S Military TRL Apt 3912
Boynton Beach, FL 33436-7233
Phone
(954) 756-3100
NPI assigned
Jun 6, 2019
Last updated
Nov 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11002647 FL
General Practice Registered Nurse 163WG0000X 11002647 FL Primary
Hospitalist Physician 208M00000X 11002647 FL

Addresses

Primary practice location

11211 S Military TRL Apt 3912
Boynton Beach, FL 33436-7233

Mailing address

10122 Stonehenge Cir Apt 606
Boynton Beach, FL 33437-3544
Phone (954) 756-3100

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200701001010 FL Practitioner - Nurse Practitioner 3971926445 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Accountable Teaching Services LLCGroup PAC ID 0941568992, 21 clinicians
Florida Hospital Medicine Services, LLCGroup PAC ID 7810129640, 263 clinicians

Practice addresses (Care Compare)

10101 Forest Hill Blvd
Wellington, FL 33414-6103
Phone (561) 766-1301

800 Meadows Rd
Boca Raton, FL 33486-2304
Phone (561) 955-7100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11002647FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Palm Beach Physician Group Inc Single Specialty CurrentSince Jul 14, 2020 Accepting new patients
Florida Hospital Medicine Services, LLC. Single Specialty CurrentSince Jan 1, 2023 Accepting new patients
Hospital Physician Services of Florida PA Single Specialty CurrentSince Jan 1, 2023 Accepting new patients
Accountable Teaching Services LLC Single Specialty CurrentSince Dec 1, 2022 Accepting new patients

Locations

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300501

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1588223275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10122 STONEHENGE CIR APT 606",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373544",
            "telephone_number": "954-756-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 S MILITARY TRL APT 3912",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367233",
            "telephone_number": "954-756-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERE",
        "first_name": "CARLINE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11002647",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "11002647",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "11002647",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.