Amy L Severson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R137916-7 Issued in MN

Practice address

401 Douglas Ave
Tri-County Health Care - Henning Clinic
Henning, MN 56551

Phone

(218) 583-2953

Fax

(218) 583-4521

NPI assigned

Sep 2, 2005

Last updated

May 9, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Astera HealthGroup PAC ID 2961395272, shared by 8 NPIs, 106 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vivie Home Health Home health agency, Alexandria, MN, CCN 248096
• Astera Health Hospital, Wadena, MN, CCN 241354
• Prairie Ridge Hospital and Health Services Hospital, Elbow Lake, MN, CCN 241379

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aseverson13099@direct.centracare.com

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.

• Astera Health

  dba Astera Health Wadena Clinic

  • Rural Health Clinic/Center
  • Wadena, MN
  • NPI 1134305162
  Medicare reassignment NPD
• Astera Health

  dba Tri- County Health Care

  • Critical Access Hospital
  • Wadena, MN
  • NPI 1477545333
  Medicare reassignment NPD
• Astera Health

  dba Astera Health Verndale Clinic

  • Rural Health Clinic/Center
  • Verndale, MN
  • NPI 1407262405
  NPD
• Mahube-Otwa Community Action Partnership

  • In Home Supportive Care Agency
  • Detroit Lakes, MN
  • NPI 1285910596
  NPD (past)

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

• Astera Health

  dba Tri- County Health Care

  • Critical Access Hospital
  • Wadena, MN
  • NPI 1477545333
  Care Compare affiliation
• Astera Health

  dba Astera Health Ottertail Clinic

  • Rural Health Clinic/Center
  • Ottertail, MN
  • NPI 1871546663

  Hospital

  Care Compare affiliation
• Knute Nelson

  dba Knute Nelson Home Health

  • Home Health Agency
  • Alexandria, MN
  • NPI 1477676229
  Care Compare affiliation
• Lake Region Healthcare Corporation

  dba Lake Region Healthcare

  • Critical Access Hospital
  • Fergus Falls, MN
  • NPI 1285525436
  Care Compare affiliation
• Lake Region Healthcare Corporation

  dba Lake Region Healthcare

  • Critical Access Hospital
  • Elbow Lake, MN
  • NPI 1407838329
  Care Compare affiliation

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1972597144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44310 230TH ST",
            "city": "HENNING",
            "state": "MN",
            "postal_code": "565519446",
            "telephone_number": "218-583-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 DOUGLAS AVE",
            "address_2": "TRI-COUNTY HEALTH CARE - HENNING CLINIC",
            "city": "HENNING",
            "state": "MN",
            "postal_code": "56551",
            "telephone_number": "218-583-2953",
            "fax_number": "218-583-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERSON",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R137916-7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara R Oscarson, D.C.
• Otter Tail County
• Ruth Ann Pallansch, NURSE PRACTITIONER
• Mark Pearson, PTA
• Seip Drug LLC (Seip Drug)
• St. William's Living Center
• Jon Peter Wigert, MD

• Family Nurse Practitioner in Henning, MN
• Providers in Henning, 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 May 9, 2014; 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.