Individual provider Active NPI

Ryan Dennis Severo, APRN

  • Family Nurse Practitioner
  • Naples, FL
National Provider Identifier
1952922502
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11007014 Issued in FL
Practice address
8831 Founders Square Dr
Naples, FL 34120-0733
Phone
(239) 348-4221
NPI assigned
May 5, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11007014 FL Primary

Addresses

Primary practice location

8831 Founders Square Dr
Naples, FL 34120-0733

Mailing address

8831 Founders Square Dr
Naples, FL 34120-0733
Phone (239) 348-4221

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ryan.severo.1@4692.direct.athenahealth.com

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
I20200716000327 FL Practitioner - Nurse Practitioner 0547684193 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Collier Hma Physician Management LLCGroup PAC ID 2769495167, 99 clinicians

Practice addresses (Care Compare)

8831 Founders Square Dr
Naples, FL 34120-0733
Phone (239) 348-4221

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11007014FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Collier Hma Physician Management LLC CurrentSince Jun 1, 2021 Accepting new patients
Collier Hma Physician Management LLC CurrentSince Jun 1, 2021 Accepting new patients
Naples Nephrology P a CurrentSince Jul 6, 2020 Accepting new patients

Locations

878 109th Ave N
Naples, FL 34108
Phone (239) 513-1002

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

8831 Founders Square Dr
Naples, FL 34120
Phone (239) 920-4503

2700 Immokalee Rd
Ste 22
Naples, FL 34110
Phone (239) 513-1002

Interoperability endpoints

  • Direct secure messaging: ryan.severo.1@4692.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1952922502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8831 FOUNDERS SQUARE DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341200733",
            "telephone_number": "239-348-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8831 FOUNDERS SQUARE DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341200733",
            "telephone_number": "239-348-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERO",
        "first_name": "RYAN",
        "middle_name": "DENNIS",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-05",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11007014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ryan.severo.1@4692.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "8831 Founders Square Dr",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341200733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.