Active NPI
Nicholas Sever, PA-C
- Physician Assistant
- Concord, MA
National Provider Identifier
1902198328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA6495
- Practice address
- 133 Old Road to 9 Acre Cor
Concord, MA 01742-4169 - Phone
- (978) 369-1400
- NPI assigned
- May 3, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA6495 | MA | Primary |
Addresses
Primary practice location
133 Old Road to 9 Acre Cor
Concord, MA 01742-4169
Mailing address
133 Old Road to 9 Acre Cor
Concord, MA 01742-4169
Other practice location 1
85 Herrick St
Beverly, MA 01915-1777
Phone (978) 922-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- nsever148591@direct.bilh.masshiway.net
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Gloucester, MA
- NPI 1235147760
-
- Emergency Medicine Physician
- Concord, MA
- NPI 1972742542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728000000000",
"number": "1902198328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 OLD ROAD TO 9 ACRE COR",
"city": "CONCORD",
"state": "MA",
"postal_code": "017424169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 OLD ROAD TO 9 ACRE COR",
"city": "CONCORD",
"state": "MA",
"postal_code": "017424169",
"telephone_number": "978-369-1400"
}
],
"practiceLocations": [
{
"address_1": "85 Herrick St",
"address_purpose": "LOCATION",
"city": "Beverly",
"state": "MA",
"postal_code": "019151777",
"country_code": "US",
"telephone_number": "978-922-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEVER",
"first_name": "NICHOLAS",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-03",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA6495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.