Individual provider Active NPI

Siobhan Conley, PA-C

  • Medical Physician Assistant
  • Harrisburg, PA
National Provider Identifier
1487028312
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA064249 Issued in PA
Practice address
111 S Front St
Harrisburg, PA 17101-2010
Phone
(717) 988-0000
NPI assigned
Nov 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X AMD-1269-0 HI
Medical Physician Assistant 363AM0700X PA5588 MA
Physician Assistant 363A00000X PA193437 OR
Medical Physician Assistant 363AM0700X MA064249 PA Primary
Medical Physician Assistant 363AM0700X 53209 MT

Addresses

Primary practice location

111 S Front St
Harrisburg, PA 17101-2010

Mailing address

111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 988-0000

Other practice location 1

1515 Village Dr
Cottage Grove, OR 97424-9700
Phone (541) 767-5222

Other practice location 2

86-260 Farrington Hwy
Waianae, HI 96792-3128
Phone (800) 697-3300

Other practice location 3

320 Alpenglow Ln
Livingston, MT 59047-8506
Phone (406) 222-3541

Other practice location 4

55 Fruit St
White 1
Boston, MA 02114-2621
Phone (617) 724-4100

Other practice location 5

104 Centennial Dr Ste 103
Livingston, MT 59047-8101
Phone (406) 222-0030

Other practice location 6

939 Caroline St
Port Angeles, WA 98362-3997
Phone (360) 565-9237

Other practice location 7

1101 26th St S
Great Falls, MT 59405-5161
Phone (406) 731-8888

Other practice location 8

123 Summer St
Worcester, MA 01608-1216
Phone (508) 363-5000

Other practice location 9

115 Lincoln St
Framingham, MA 01702-6358
Phone (508) 383-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sconley238823@phsdirect.pinnaclehealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, MT, OR, WA, PA, HI6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20160428001130 MA Practitioner - Physician Assistant 7618276478 Reassigns benefits to 2 organizations
I20170807001580 MT Practitioner - Physician Assistant 7618276478 Reassigns benefits to 1 organization
I20200204003091 OR Practitioner - Physician Assistant 7618276478 Reassigns benefits to 2 organizations
I20220922003271 WA Practitioner - Physician Assistant 7618276478 Reassigns benefits to 2 organizations
I20221227000009 PA Practitioner - Physician Assistant 7618276478 Reassigns benefits to 1 organization
I20231129002771 HI Practitioner - Physician Assistant 7618276478 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
Eugene Emergency Physicians PCGroup PAC ID 2264330448, 33 clinicians

Practice addresses (Care Compare)

3333 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-7300

Hospital & facility affiliations

  • Benefis Hospitals Inc Hospital, Great Falls, MT, CCN 270012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53209MTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston Healthcare CurrentSince Jul 1, 2017 Accepting new patients
Livingston Healthcare CurrentSince Jul 1, 2017 Accepting new patients
Washington Emergency Physician Partners, PLLC CurrentSince Jan 15, 2024 Accepting new patients
Benefis Hospitals Inc CurrentSince Dec 1, 2022 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Incorporated CurrentSince Sep 16, 2023 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Incorporated CurrentSince Sep 16, 2023 Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Massachusetts General Physicians Organization Inc Past Accepting new patients

Locations

86-260 Farrington Hwy
Waianae, HI 96792
Phone (808) 696-7081

200 Corporate Blvd
Lafayette, LA 70508

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

1401 25th St S
Great Falls, MT 59405
Phone (406) 455-3650

320 Alpenglow Ln
Livingston, MT 59047
Phone (406) 222-3541

104 Centennial Dr
Livingston, MT 59047
Phone (406) 222-0030

104 Centennial Dr
Ste 103
Livingston, MT 59047
Phone (406) 222-0030

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 3

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": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1487028312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S FRONT ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171012010",
            "telephone_number": "717-988-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S FRONT ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171012010",
            "telephone_number": "717-988-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Village Dr",
            "address_purpose": "LOCATION",
            "city": "Cottage Grove",
            "state": "OR",
            "postal_code": "974249700",
            "country_code": "US",
            "telephone_number": "541-767-5222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "86-260 Farrington Hwy",
            "address_purpose": "LOCATION",
            "city": "Waianae",
            "state": "HI",
            "postal_code": "967923128",
            "country_code": "US",
            "telephone_number": "800-697-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Alpenglow Ln",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "MT",
            "postal_code": "590478506",
            "country_code": "US",
            "telephone_number": "406-222-3541",
            "fax_number": "406-222-7606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Fruit St",
            "address_2": "White 1",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142621",
            "country_code": "US",
            "telephone_number": "617-724-4100",
            "fax_number": "617-726-7415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Centennial Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "MT",
            "postal_code": "590478101",
            "country_code": "US",
            "telephone_number": "406-222-0030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "939 Caroline St",
            "address_purpose": "LOCATION",
            "city": "Port Angeles",
            "state": "WA",
            "postal_code": "983623997",
            "country_code": "US",
            "telephone_number": "360-565-9237",
            "fax_number": "360-565-9241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 26th St S",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594055161",
            "country_code": "US",
            "telephone_number": "406-731-8888",
            "fax_number": "406-731-8318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 Summer St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016081216",
            "country_code": "US",
            "telephone_number": "508-363-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017026358",
            "country_code": "US",
            "telephone_number": "508-383-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "SIOBHAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-16",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "HI",
            "license": "AMD-1269-0",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA5588",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA193437",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA064249",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": "53209",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sconley238823@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "111 S Front St",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171012010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.