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Deactivated NPI 1821042722 Deactivated / Inactive NPI Male Practitioner

Jerry W Severance , PA-C

Physician Assistant • Hanford, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jerry Severance has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 22, 2006
NPI Deactivation Date June 12, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Jerry Severance, PA-C was a registered Physician Assistant practicing in Hanford, CA. Throughout an active medical career spanning 19 years, Jerry Severance provided care at the practice location at 1524 W. LACEY BLVD until profile deactivation on 2025-06-12.

Practice Location & Contact Primary Location

Practice Address

1524 W. Lacey Blvd
Suite 101

Hanford, CA 93230

Telephone 5595834511
Fax 5595834515

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Hanford, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
37 Specialists

Practicing in Hanford, CA (14617 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA OPA141121

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Tommy Martin , PA-C

Physician Assistant

NPI 1982650198

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 12, 2025

Record deactivated on June 12, 2025

NPI Profile Active October 27, 2010

NPI status registered as active in NPPES database

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Updated Practice Location October 27, 2010

Registered at 1524 W. LACEY BLVD, SUITE 101, HANFORD, CA 93230 (Tel: 5595834511)

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Updated Business Mailing Address October 27, 2010

Registered at 1524 W. LACEY BLVD, SUITE 101, HANFORD, CA 93230 (Tel: 5595834511)

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Provider Name / Credentials Updated October 27, 2010

Recorded as JERRY SEVERANCE, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2010

Physician Assistant (License #OPA141121 in CA)

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Initial NPI Registration & Enumeration May 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821042722
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2006
Last Update: October 27, 2010
Deactivation Date: June 12, 2025

Mailing Address

1524 W. Lacey Blvd, Suite 101

Hanford, CA 93230

Phone: 5595834511

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.