Active NPI
Grace Anne Siekman, P.A.-C
- Physician Assistant
- Sun City, AZ
National Provider Identifier
1316032683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3632
- Practice address
- 10401 W Thunderbird Blvd
Sun City, AZ 85351-3004 - Phone
- (623) 876-5366
- Fax
- (623) 974-7520
- NPI assigned
- Oct 4, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 994 | CO | |
| Physician Assistant | 363A00000X | 3632 | AZ | Primary |
Addresses
Primary practice location
10401 W Thunderbird Blvd
Sun City, AZ 85351-3004
Mailing address
10401 W Thunderbird Blvd
Sun City, AZ 85351-3004
Phone (623) 876-5366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.77 of 100
- Quality
- 81.6
- Improvement activities
- 40
- Cost
- 77.61
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 994 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Physical Medicine & Rehabilitation P C | Past | Accepting new patients | |
| Gold Star Medical LLC | Past | Accepting new patients | |
| Med 97 LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Medicine & Rehabilitation Physician
- Phoenix, AZ
- NPI 1306959218
-
- Urgent Care Clinic/Center
- Phoenix, AZ
- NPI 1164727665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310947200000",
"number": "1316032683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10401 W THUNDERBIRD BLVD",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853513004",
"telephone_number": "623-876-5366",
"fax_number": "623-974-7520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10401 W THUNDERBIRD BLVD",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853513004",
"telephone_number": "623-876-5366",
"fax_number": "623-974-7520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEKMAN",
"first_name": "GRACE",
"middle_name": "ANNE",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2011-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "994",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "3632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sun City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.