Elizabeth Severance, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2412 Issued in MN

Practice address

2401 Fairview Ave N # 145
Saint Paul, MN 55113-2708

Phone

(763) 225-9050

NPI assigned

Jun 12, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minuteclinic Primary Care Minnesota PLLCGroup PAC ID 2163945460, 30 clinicians

Minuteclinic Diagnostic of Minnesota PAGroup PAC ID 7810289949, 83 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722

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.

• Minuteclinic Primary Care Minnesota PLLC

  • Family Nurse Practitioner
  • Eagan, MN
  • NPI 1104632801
  Medicare reassignment Care Compare group NPD
• Minuteclinic Diagnostic of Minnesota, P.a.

  • Family Nurse Practitioner
  • Eagan, MN
  • NPI 1407227945
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1700290319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3849 UPTON AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554121810",
            "telephone_number": "651-605-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 FAIRVIEW AVE N # 145",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551132708",
            "telephone_number": "763-225-9050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7901 Bass Lake Rd",
            "address_purpose": "LOCATION",
            "city": "New Hope",
            "state": "MN",
            "postal_code": "554283105",
            "country_code": "US",
            "telephone_number": "763-257-0130 x8221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEVERANCE",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "2412",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22871",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "elizabeth.severance@499749571198980.direct.elationemr.com",
            "affiliation": "Y",
            "affiliationName": "Herself Health MN PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2401 Fairview Ave N # 145",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551132708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristofer Setterstrom
• Ann M Settgast, MD
• Settle Bridge Health LLC
• Setzer Pharmacy Inc
• Robert J Sevenich, MD
• Hayley Jeanmarie Severson
• Katherine A. Severson, MD
• Matthew Chase Severson, MD
• Paul Sevett, LICSW, BC-DMT
• Emily Sevig, OT

• Family Nurse Practitioner in Saint Paul, MN
• Providers in Saint Paul, 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 Jan 10, 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.