Kayla Severinsen | Schaumburg, IL • PECOS Search

Kayla Severinsen

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1325 Remington Rd Ste X, Schaumburg, IL 60173-4815

(630) 237-4500 (847) 508-0499

PECOS Enrollment

Based on the most recent information from CMS, provider Kayla Severinsen does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1922720689
Provider Type
Individual
Full Name
Severinsen, Kayla
Title
Ms.
Credential
NP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/19/2022
Last Updated
9/19/2022

Contact Information

Practice Location

1325 Remington Rd Ste X, Schaumburg, IL 60173-4815

Unlisted Fax

Mailing Location

843 Meadow Ln, Barrington, IL 60010-4228

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 209.026003 Illinois