Active NPI
Kirsten Siwy, PA-C
- Medical Physician Assistant
- Leland, NC
National Provider Identifier
1003559832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0010-11992
- Practice address
- 1003 Olde Waterford Way Ste 1B
Leland, NC 28451-4168 - Phone
- (910) 679-3212
- NPI assigned
- Apr 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0010-11992 | NC | Primary |
| Medical Physician Assistant | 363AM0700X | MA063462 | PA |
Addresses
Primary practice location
1003 Olde Waterford Way Ste 1B
Leland, NC 28451-4168
Mailing address
314 Eagle Dr
Emmaus, PA 18049-1926
Phone (610) 393-3253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220810001912 | NC | Practitioner - Physician Assistant | 9739562679 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Physical Therapy Holdings Inc
Practice addresses (Care Compare)
1003 Olde Waterford Way
Suite 1B
Leland, NC 28451-4168
Phone 91062226081001
8066 B Market St
Wilmington, NC 28411-9384
Phone (910) 686-8485
Hospital & facility affiliations
- J Arthur Dosher Memorial Hospital
- Novant Health New Hanover Regional Medical Center
- Novant Health Brunswick Medical Center
- Columbus Regional Healthcare System
- McLeod Loris Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-11992 | NC | MD | Medical Physician Assistant |
| MA063462 | PA | MD | Medical Physician Assistant |
Interoperability endpoints
- kirsten.siwy.p1@direct.capefeararthritis.nextgenshare.com
Organizations & group practices 1
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 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Whiteville, NC
- NPI 1376537555
Hospital
-
- Rural Health Clinic/Center
- Oak Island, NC
- NPI 1235405358
Hospital
-
- General Practice Physician
- Bald Head Island, NC
- NPI 1376961219
Hospital
-
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1003559832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 EAGLE DR",
"city": "EMMAUS",
"state": "PA",
"postal_code": "180491926",
"telephone_number": "610-393-3253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 OLDE WATERFORD WAY STE 1B",
"city": "LELAND",
"state": "NC",
"postal_code": "284514168",
"telephone_number": "910-679-3212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIWY",
"first_name": "KIRSTEN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-19",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "0010-11992",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA063462",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leland, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.