Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannen Marie Seversen, PA-C

Individual provider Surgical Physician Assistant · NPI 1457895161

Shannen Marie Seversen, PA-C is a Physician Assistant in Lake Worth, Florida. Qualified in 1989, 37 years ago. Licensed in Florida.

Years since qualifying
37
Licensed in
FL
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3618 Lantana Rd Ste 200
Lake Worth, FL 33462-2247
Phone: (561) 968-2995
Fax: (561) 968-0203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA2306 (FL)

Record details

NPI number1457895161
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 14, 2016
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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