NPIMap

Individual provider Active NPI

Savannah Carly Sievers, PAC

  • Physician Assistant
  • Greeley, CO
National Provider Identifier
1407232028
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0006189 Issued in CO
Practice address
1801 16TH St
Greeley, CO 80631
Phone
(970) 810-5115
Fax
(970) 810-3897
NPI assigned
Aug 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA12675 TX
Medical Physician Assistant 363AM0700X 0010-05769 NC
Physician Assistant 363A00000X PA.0006189 CO Primary

Addresses

Primary practice location

1801 16TH St
Greeley, CO 80631

Mailing address

1801 16TH St
Greeley, CO 80631
Phone (970) 810-5115

Other practice location 1

600 S Church St
Hertford, NC 27944-1205
Phone (252) 426-5711

Other practice location 2

600 S Church St
Hertford, NC 27944-1205
Phone (252) 426-5711

Other practice location 3

1515 Holcombe Blvd
Houston, TX 77030
Phone (713) 792-6161

Other identifiers 3

IdentifierTypeStateIssuer
398455102OtherTXMEDICAID-CSHCN
398455101MedicaidTX
8LB699OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200324003583 CO Practitioner - Physician Assistant 7719296888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2525 S Downing St
Denver, CO 80210-5817

2535 D S Downing St
Suite 460
Denver, CO 80210-5817
Phone (303) 744-1065

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

2555 S Downing St
240 Aah Cypress Denver
Denver, CO 80210-5855
Phone (303) 715-7030

2555 S Downing St 1St Floor
WHCC WH Cherry Creek
Denver, CO 80210-5855
Phone (303) 316-6677

2555 S Downing St FL
1 CMG Gynecologic Oncology Porter
Denver, CO 80210-5856
Phone (303) 715-2365

4350 Limelight Ave
Suite 100
Castle Rock, CO 80109-8034
Phone (720) 455-3775

7750 S Broadway
Littleton, CO 80122-2630

7750 S Broadway
260 South Denver Neurosurgery
Littleton, CO 80122-2623
Phone (303) 734-8650

9395 Crown Crest Blvd
Parker, CO 80138-8573
Phone (303) 269-4975

9403 Crown Crest Blvd
Parker, CO 80138-8882

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0006189COMDPhysician Assistant
PA12675TXMDPhysician Assistant
0010-05769NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince May 1, 2022 Accepting new patients
Portercare Adventist Health System CurrentSince May 1, 2022 Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

2360 Meadows Blvd
Ste 300
Castle Rock, CO 80109
Phone (303) 269-4420

2535 S Downing St
Ste 430
Denver, CO 80210
Phone (303) 715-2365

2555 S Downing St
Ste 240
Denver, CO 80210
Phone (303) 715-7030

2535 S Downing St
Denver, CO 80210
Phone (720) 524-1367

2555 S Downing St
Fl 1
Denver, CO 80210
Phone (303) 316-6677

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

7750 S Broadway
Ste 100
Littleton, CO 80122
Phone (303) 734-2090

9403 Crown Crest Blvd
Ste 115
Parker, CO 80138
Phone (303) 269-4420

Interoperability endpoints

  • Direct secure messaging: ssievers1870787@adventhealth.direct-ci.com

Organizations & group practices 4

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1407232028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "80631",
            "telephone_number": "970-810-5115",
            "fax_number": "970-810-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "80631",
            "telephone_number": "970-810-5115",
            "fax_number": "970-810-3897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 S Church St",
            "address_purpose": "LOCATION",
            "city": "Hertford",
            "state": "NC",
            "postal_code": "279441205",
            "country_code": "US",
            "telephone_number": "252-426-5711",
            "fax_number": "252-426-5711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 S Church St",
            "address_purpose": "LOCATION",
            "city": "Hertford",
            "state": "NC",
            "postal_code": "279441205",
            "country_code": "US",
            "telephone_number": "252-426-5711",
            "fax_number": "252-426-5711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 Holcombe Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77030",
            "country_code": "US",
            "telephone_number": "713-792-6161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEVERS",
        "first_name": "SAVANNAH",
        "middle_name": "CARLY",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12675",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-05769",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0006189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID-CSHCN",
            "identifier": "398455102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "398455101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8LB699",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.