Individual provider Active NPI

Kevin Boyd Siewers, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Denville, NJ
National Provider Identifier
1215056221
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F400287 Issued in NY
Practice address
95 E Main St
Denville, NJ 07834-2158
Phone
(862) 704-3055
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F400287 NY Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00036300 NJ

Addresses

Primary practice location

95 E Main St
Denville, NJ 07834-2158

Mailing address

587 Broadway
Staten Island, NY 10310-2828
Phone (917) 232-4830

Other practice location 1

7701 13th Ave
Brooklyn, NY 11228-2413
Phone (718) 232-1351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071117000046 NY Practitioner - Nurse Practitioner 9133217664 Reassigns benefits to 5 organizations
I20160202001483 NJ Practitioner - Certified Clinical Nurse Specialist (CNS) 9133217664 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York General Medical Services PCGroup PAC ID 7810255494, 18 clinicians
National Neighborhood Counseling Center IncGroup PAC ID 1052202157, 13 clinicians
Inner Healing Therapy CenterGroup PAC ID 1052759230, 4 clinicians

Practice addresses (Care Compare)

100 Lake Rd
Valley Cottage, NY 10989-2339
Phone (845) 268-6813

7701 13TH Ave
Brooklyn, NY 11228-2413
Phone (718) 232-1351

797 Brighton Ave
Staten Island, NY 10301-2736
Phone (718) 720-9600

95 E Main St
Suite 109
Denville, NJ 07834-2158
Phone (862) 704-3055

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F400287NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NV Pacs 2 LLC CurrentSince Jan 1, 2022 Accepting new patients
CS Pacs 3 Northeast, LLC CurrentSince Sep 9, 2024 Accepting new patients
Barnabas Health Medical Group, PC CurrentSince Nov 28, 2015 Accepting new patients
Hospitalist Healthcare Services PLLC CurrentSince Jun 20, 2014 Accepting new patients
Hospitalist Healthcare Services PLLC CurrentSince Jun 20, 2014 Accepting new patients
New York General Medical Services PC CurrentSince Dec 1, 2017 Accepting new patients
National Neighborhood Counseling Center Inc CurrentSince Jun 27, 2019 Accepting new patients
Inner Healing Therapy Center CurrentSince Mar 22, 2026 Accepting new patients
Seniorstat Psychiatric PC Past Accepting new patients

Locations

95 E Main St
Ste 109
Denville, NJ 07834
Phone (862) 704-3055

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

111 E 210th St
Bronx, NY 10467

7701 13th Ave
Brooklyn, NY 11228
Phone (718) 232-1351

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

4241 201st St
Flushing, NY 11361
Phone (516) 599-5688

2090 Albany Post Rd
Montrose, NY 10548
Phone (914) 788-6003

420 E 76th St
New York, NY 10021
Phone (212) 434-5300

17850 Linden Blvd
Rochdale Village, NY 11434
Phone (718) 990-0300

1 Elsie St
Rome, NY 13440
Phone (315) 336-4435

101 Elm St
Sayville, NY 11782
Phone (631) 244-2400

100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813

Interoperability endpoints

  • Direct secure messaging: ksiewers48218@epicdirect.rwjbh.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1215056221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 BROADWAY",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102828",
            "telephone_number": "917-232-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 E MAIN ST",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342158",
            "telephone_number": "862-704-3055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7701 13th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112282413",
            "country_code": "US",
            "telephone_number": "718-232-1351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEWERS",
        "first_name": "KEVIN",
        "middle_name": "BOYD",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400287",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00036300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

Verify at the official NPI Registry.