Active NPI
Alyssa Siegworth, PA-C
- Physician Assistant
- Trinity, FL
National Provider Identifier
1053167395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9118729
- Practice address
- 8141 Bellarus Way Ste 103
Trinity, FL 34655-1789 - Phone
- (727) 910-2395
- NPI assigned
- Apr 26, 2024
- Last updated
- May 10, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9118729 | FL | Primary |
Addresses
Primary practice location
8141 Bellarus Way Ste 103
Trinity, FL 34655-1789
Mailing address
8141 Bellarus Way Ste 103
Trinity, FL 34655-1789
Phone (724) 771-7651
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3610 Galileo Dr
Suite 101
Trinity, FL 34655-1794
8141 Bellarus Way
Suite 103
Trinity, FL 34655-1789
Phone (727) 910-2395
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9118729 | FL | MD | Physician Assistant |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715299200000",
"number": "1053167395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8141 BELLARUS WAY STE 103",
"city": "TRINITY",
"state": "FL",
"postal_code": "346551789",
"telephone_number": "724-771-7651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8141 BELLARUS WAY STE 103",
"city": "TRINITY",
"state": "FL",
"postal_code": "346551789",
"telephone_number": "727-910-2395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGWORTH",
"first_name": "ALYSSA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-26",
"last_updated": "2024-05-10",
"certification_date": "2024-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9118729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trinity, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.