NPIMap

Individual provider Active NPI

Kristy Marie Severson, NP

  • Adult Health Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1861569998
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11043063 Issued in FL
Practice address
1223 Gateway Dr Ste 2B
Melbourne, FL 32901-2607
Phone
(321) 407-7097
Fax
(321) 600-2012
NPI assigned
Nov 30, 2006
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN11043063 FL Primary

Addresses

Primary practice location

1223 Gateway Dr Ste 2B
Melbourne, FL 32901-2607

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 407-7097

Other practice location 1

1130 Hickory St Ste B
Melbourne, FL 32901-1973
Phone (321) 407-7097

Other identifiers 2

IdentifierTypeStateIssuer
131562200MedicaidFL
XQ296OtherFLHFMG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120927000194 CO Practitioner - Nurse Practitioner 9638275563 Reassigns benefits to 2 organizations
I20260617003977 FL Practitioner - Nurse Practitioner 9638275563

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians

Practice addresses (Care Compare)

12605 E 16TH Ave
Uchealth Anschutz Medical Campus
Aurora, CO 80045-2545
Phone (720) 848-0000

13123 E 16TH Ave
Aurora, CO 80045-7106
Phone (720) 777-1234

1500 Park Central Dr
Highlands Ranch, CO 80129-6688
Phone (720) 516-1100

9548 Park Meadows Dr
Lone Tree, CO 80124-5315
Phone (720) 848-2200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3098WIMDPhysical Therapy Assistant
APN.0990373-NPCOMDAcute Care Nurse Practitioner
R152551-3MNMDMedical-Surgical Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians, Incorporated CurrentSince Mar 15, 2020 Accepting new patients
University Physicians, Incorporated CurrentSince Mar 15, 2020 Accepting new patients
Rocky Mountain Gastroenterology Associates, PLLC Gastroenterology CurrentSince Jul 9, 2014 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Sep 10, 2012 Accepting new patients
University Physicians Incorporated Nurse Practitioner Current Accepting new patients
Portercare Adventist Health System Gastroenterology CurrentSince Sep 10, 2012 Accepting new patients
The Duluth Clinic, LTD. Past Accepting new patients

Locations

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

1444 S Potomac St
Ste 100
Aurora, CO 80012
Phone (303) 337-2794

1635 Aurora Ct
Aurora, CO 80045
Phone (720) 848-1060

4809 Argonne St
Ste 200
Denver, CO 80249
Phone (303) 563-2782

Dept 1061
Denver, CO 80256

1500 Park Central Dr
Ste 201
Highlands Ranch, CO 80129
Phone (720) 516-1094

3333 S Wadsworth Blvd
Unit D100
Lakewood, CO 80227

7720 S Broadway
Ste 250
Littleton, CO 80122
Phone (720) 922-6240

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

9548 Park Meadows Dr
Lone Tree, CO 80124
Phone (720) 848-2200

9548 Park Meadows Dr
Fl 3
Lone Tree, CO 80124

10001 Washington St
Thornton, CO 80229
Phone (303) 252-0083

2551 W 84th Ave
Westminster, CO 80031
Phone (303) 202-1280

Organizations & group practices 8

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 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1861569998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306",
            "telephone_number": "321-407-7097",
            "fax_number": "321-600-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 GATEWAY DR STE 2B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012607",
            "telephone_number": "321-407-7097",
            "fax_number": "321-600-2012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 Hickory St Ste B",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329011973",
            "country_code": "US",
            "telephone_number": "321-407-7097",
            "fax_number": "321-600-2012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEVERSON",
        "first_name": "KRISTY",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11043063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131562200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HFMG",
            "identifier": "XQ296",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.