Jennifer N Sieb, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2013005540 Issued in MO

Practice address

555 N New Ballas Rd Ste 175
Saint Louis, MO 63141-6884

Phone

(314) 786-2663

NPI assigned

Feb 21, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer N Richardson Former name

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Agility Orthopaedics, LLCGroup PAC ID 0345545497, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179
• Barnes-Jewish West County Hospital Hospital, Creve Coeur, MO, CCN 260162

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Agility Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • Saint Louis, MO
  • NPI 1225494941
  Medicare reassignment Care Compare group
• Bodavula MD LLC

  • Clinic/Center
  • Creve Coeur, MO
  • NPI 1790183077
  NPD (past)

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

• Barnes Jewish West County Hospital

  • General Acute Care Hospital
  • Saint Louis, MO
  • NPI 1831107895
  Care Compare affiliation
• St. Lukes Episcopal-Presbyterian Hospital

  • General Acute Care Hospital
  • Chesterfield, MO
  • NPI 1346251543
  Care Compare affiliation

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501718400000",
    "number": "1407196892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N NEW BALLAS RD",
            "address_2": "SUITE 175",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63141",
            "telephone_number": "314-786-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N NEW BALLAS RD STE 175",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416884",
            "telephone_number": "314-786-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEB",
        "first_name": "JENNIFER",
        "middle_name": "N",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-21",
        "last_updated": "2017-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2013005540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "RICHARDSON",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Laura Sides, R.D., L.D.
• Sreetha Sidharthan, MD
• Manjaap Singh Sidhu, MD
• Sids Resources Inc
• Benjamin Jacob Sidwell, CRNA
• Lynn Siebe
• Dale William Sieben, LCSW
• Abby Klaus Siebert, CRNA
• Jason Paul Siebert, MD
• Sharon Siebert

• Physician Assistant in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2017; 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.

Verify at the official NPI Registry.