Elizabeth Ellen Siefken, D.C.
Individual provider Active NPI Chiropractor · Peosta, IA
NPI 1073742276 · NPPES record last updated Jun 4, 2012
Key facts
- NPI
- 1073742276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 007221 (IA)
- Practice address
- 8558 Kapp Dr
Suite B
Peosta, IA 52068-9759 - Phone
- (563) 552-7236
- NPI assigned
- Jul 8, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8558 Kapp Dr
Suite B
Peosta, IA 52068-9717
Phone (563) 552-7236
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090825000575 | IA | Practitioner - Chiropractic | 3577618677 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Living Chiropractic PLLC | Chiropractor | Current |
Accepting new patients |
| Kobusch Chiropractic Inc | Chiropractor | Current |
Accepting new patients |
| Inner Health Chiropractic, P. L.L.C. | Chiropractor | Past | Accepting new patients |
| Inner Health Systems P.C. | Chiropractor | Past |
Accepting new patients |
Locations
4655 Old Highway Rd
Dubuque, IA 52002
Phone (563) 543-3644
8558 Kapp Dr
Ste B
Peosta, IA 52068
Phone (563) 552-7236
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 007221 | IA | Yes |
Addresses
Primary practice location
8558 Kapp Dr
Suite B
Peosta, IA 52068-9759
Mailing address
PO Box 183
Peosta, IA 52068-0183
Phone (563) 552-7236
Other providers in Peosta, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.