Individual provider Active NPI

Amy Beth Sieweke, APRN

  • Family Nurse Practitioner
  • Ashland, KY
National Provider Identifier
1104866276
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3004364 Issued in KY
Practice address
617 23Rd St Ste 212
Ashland, KY 41101
Phone
(606) 408-8485
Fax
(606) 324-1351
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3004364 KY Primary

Addresses

Primary practice location

617 23Rd St Ste 212
Ashland, KY 41101

Mailing address

PO Box 2379
Ashland, KY 41105-2379
Phone (606) 408-6200

Other identifiers 3

IdentifierTypeStateIssuer
2590209MedicaidOH
78012887MedicaidKY
P01138158OtherKYRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041108000354 KY Practitioner - Nurse Practitioner 5395708739 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashland Hospital CorporationGroup PAC ID 7719882521, 169 clinicians
Kings Daughters Medical Specialties IncGroup PAC ID 6103968029, 397 clinicians
Premier Therapy and Health Centers IncGroup PAC ID 7416859574, shared by 6 NPIs, 263 clinicians

Practice addresses (Care Compare)

1107 Bellefonte Rd
Flatwoods, KY 41139-2503
Phone (606) 834-0125

2201 Lexington Ave
Ashland, KY 41101-2843
Phone (606) 408-4000

2400 13TH St
Ashland, KY 41102-4510
Phone (606) 329-0910

710 N Carol Malone Boulevard
Grayson, KY 41143-1126
Phone (606) 474-0157

7700 Ohio River Rd
Wheelersburg, OH 45694-1653
Phone (740) 574-4616

Hospital & facility affiliations

  • St Mary'S Home Health Service Home health agency, Proctorville, OH, CCN 368269
  • King'S Daughters' Medical Center HHA Home health agency, Ashland, KY, CCN 187047
  • King'S Daughters' Medical Center Hospital, Ashland, KY, CCN 180009
  • Kings Daughters Medical Center Ohio Hospital, Portsmouth, OH, CCN 360361

Merit-based Incentive Payment System (MIPS)

Final score
84.04 of 100Reported as group
Quality
60.55
Promoting interoperability
100
Improvement activities
40
Cost
78.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3004364KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Hospital Corporation Current Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Aug 27, 2012 Accepting new patients
Ashland Hospital Corporation CurrentSince Jan 9, 2015 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
Kings Daughters Medical Specialties Inc Family CurrentSince Aug 27, 2012 Accepting new patients
Ashland Hospital Corporation Family CurrentSince Jan 9, 2015 Accepting new patients

Locations

10650 US Route 60
Ashland, KY 41102
Phone (606) 408-6301

613 23rd St
Ste 230
Ashland, KY 41101
Phone (606) 324-4745

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

12100 Princeland Spur
Ashland, KY 41102
Phone (606) 928-2963

617 23rd St
Ste 212
Ashland, KY 41101
Phone (606) 408-8485

1107 Bellefonte Rd
Flatwoods, KY 41139
Phone (606) 834-0125

1061 Kenwood Dr
Russell, KY 41169
Phone (606) 326-1675

Interoperability endpoints

  • Direct secure messaging: asieweke16125@direct.kdhealth.us

Organizations & group practices 6

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 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1104866276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2379",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411052379",
            "telephone_number": "606-408-6200",
            "fax_number": "606-408-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 23RD ST STE 212",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "41101",
            "telephone_number": "606-408-8485",
            "fax_number": "606-324-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEWEKE",
        "first_name": "AMY",
        "middle_name": "BETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3004364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2590209",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78012887",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01138158",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.