Individual provider Active NPI

Lindsey Siefker

  • Women's Health Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1578078598
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN.CNP.020994 Issued in OH
Practice address
1 Wyoming St Ste 3100B
Dayton, OH 45409-2722
Phone
(937) 208-4110
NPI assigned
Dec 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APRN.CNP.020994 OH Primary

Addresses

Primary practice location

1 Wyoming St Ste 3100B
Dayton, OH 45409-2722

Mailing address

3170 Kettering Blvd BLDG B3
Moraine, OH 45439-1924
Phone (937) 991-3186

Other practice location 1

100 Campus Loop Rd Ste B
Middletown, OH 45005-5187
Phone (513) 420-5235

Other practice location 2

2350 Miami Valley Dr Ste 420
Centerville, OH 45459-4778
Phone (937) 435-1445

Other practice location 3

100 Campus Loop Rd Ste B
Middletown, OH 45005
Phone (513) 420-5235

Other practice location 4

330 N Main St Ste 101
Centerville, OH 45459-4459
Phone (937) 435-1445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20180823002032 OH Practitioner - Nurse Practitioner 6608125638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

7450 S Mason Montgomery Rd
Suite 201B
Mason, OH 45040-7802
Phone (513) 420-8030

Hospital & facility affiliations

  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.020994OHMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc CurrentSince Jul 23, 2018 Accepting new patients
Premier Health Specialists Inc CurrentSince Jul 23, 2018 Accepting new patients
Hilltop Obstetrics & Gynecology, Inc. Past Accepting new patients
Premier Heart Associates, Inc PastSince Aug 15, 2021 Accepting new patients

Locations

330 N Main St
Ste 101
Centerville, OH 45459
Phone (937) 435-1445

2350 Miami Valley Dr
Ste 420
Centerville, OH 45459
Phone (937) 208-4110

330 N Main St
Centerville, OH 45459
Phone (937) 434-8272

1 Wyoming St
Ste 3100B
Dayton, OH 45409
Phone (937) 208-4110

7450 S Mason Montgomery Rd
Unit 201
Mason, OH 45040
Phone (513) 229-7791

7450 S Mason Montgomery Rd
Ste 201B
Mason, OH 45040
Phone (513) 420-8030

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

3170 Kettering Blvd
Bldg B3
Moraine, OH 45439
Phone (937) 991-3188

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

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 1

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": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1578078598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD BLDG B3",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924",
            "telephone_number": "937-991-3186",
            "fax_number": "937-223-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WYOMING ST STE 3100B",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092722",
            "telephone_number": "937-208-4110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Campus Loop Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450055187",
            "country_code": "US",
            "telephone_number": "513-420-5235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2350 Miami Valley Dr Ste 420",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454594778",
            "country_code": "US",
            "telephone_number": "937-435-1445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Campus Loop Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "45005",
            "country_code": "US",
            "telephone_number": "513-420-5235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 N Main St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454594459",
            "country_code": "US",
            "telephone_number": "937-435-1445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEFKER",
        "first_name": "LINDSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "APRN.CNP.020994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.