Jennifer Severance, DNP, FNP-C, RN
Individual provider Active NPI Family Nurse Practitioner · Bertram, TX
NPI 1639520596 · NPPES record last updated Sep 6, 2016
Key facts
- NPI
- 1639520596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP131048 (TX)
- Practice address
- 160 N Lampasas St
Bertram, TX 78605-4323 - Phone
- (512) 355-9233
- Fax
- (512) 355-9230
- NPI assigned
- Jun 22, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- TMC Provider Group PLLC
Practice addresses (Care Compare)
9900S Interstate 35
Austin, TX 78748-3885
Phone (512) 291-5577
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161107002331 | TX | Practitioner - Nurse Practitioner | 9537448949 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP131048 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Seton | Current | Accepting new patients | |
| Ucp Physicians of Central Texas, PLLC | Current | Accepting new patients | |
| Ascension Seton | Current |
Accepting new patients | |
| Access Health Urgent Care PLLC | Current |
Accepting new patients | |
| TMC Provider Group PLLC | Current | Accepting new patients | |
| TMC Provider Group PLLC | Current |
Accepting new patients | |
| Ucp Physicians of Central Texas, PLLC | Current |
Accepting new patients | |
| Ascension Seton | Current |
Accepting new patients | |
| TMC Provider Group PLLC | Current |
Accepting new patients |
Locations
9900 S Interstate 35
Austin, TX 78748
Phone (512) 291-5577
6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627
160 N Lampasas St
Bertram, TX 78605
Phone (512) 355-2678
101 Leffingwell Ln
Burnet, TX 78611
Phone (337) 277-8630
1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330
1205 Central Texas Expy
Lampasas, TX 76550
Phone (512) 556-5362
1701 S Colorado St
Lockhart, TX 78644
Phone (512) 312-7522
1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100
4851 N Interstate 35
Round Rock, TX 78664
Phone (512) 486-6140
13722 Embassy Row
San Antonio, TX 78216
Phone (210) 349-5577
23611 W Interstate 10
San Antonio, TX 78257
Phone (210) 698-6617
Interoperability endpoints
- https://api.platform.athenahealth.com/26722/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP131048 | TX | Yes |
Addresses
Primary practice location
160 N Lampasas St
Bertram, TX 78605-4323
Mailing address
P. O. Box 1219
Burnet, TX 78611-7219
Phone (512) 355-9233
Other providers in Bertram, TX
- Jennie Mundell
- Northwest Internal Medicine and Geriatrics, PA
- David Aruwa Okwata
- Personal Responsibility Recovery
- Eva Kathleen Sarem
- Shady Shores of Bertram LLC
- Stick Chick Enterprises, LLC
- Lanny Michael Stone
- Asif S Syed
- Mary Celeste Traverse
All providers in Bertram, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.