Individual provider Active NPI

Lisa Ann Siegfried, NURSE PRACTITIONER

  • Nurse Practitioner
  • Center Valley, PA
National Provider Identifier
1689817660
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP010190 Issued in PA
Practice address
3477 Corporate Pkwy Ste 100
Center Valley, PA 18034-8237
Phone
(484) 626-0480
Fax
(484) 896-9002
NPI assigned
Apr 7, 2009
Last updated
Aug 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP010190 PA Primary

Addresses

Primary practice location

3477 Corporate Pkwy Ste 100
Center Valley, PA 18034-8237

Mailing address

1 E Broad St Ste 130
Bethlehem, PA 18018-5934
Phone (484) 626-0480

Other practice location 1

535 No. 17th Street
Allentown, PA 18104-5016
Phone (419) 531-2127 ext. 107

Other names 1

  • Miss Lisa Ann Cody Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20090522000120 PA Practitioner - Nurse Practitioner 9830248855 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rosenfeld Vanwirt PCGroup PAC ID 5698909117, 29 clinicians
RFVW Healthcare, PCGroup PAC ID 1153866900, 33 clinicians

Practice addresses (Care Compare)

1 S Home Ave
Topton, PA 19562-1317
Phone (610) 682-1275

3477 Corporate Pkwy
Suite 100
Center Valley, PA 18034-8237
Phone (484) 626-0480

Merit-based Incentive Payment System (MIPS)

Final score
87.99 of 100Reported as group
Quality
76.57
Improvement activities
40
Cost
69.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP010190PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
RFVW Healthcare PC CurrentSince Sep 1, 2024 Accepting new patients
HCR Manorcare Medical Services of Florida LLC Nurse Practitioner CurrentSince Apr 30, 2009 Accepting new patients
Rosenfeld Vanwirt PC CurrentSince Jan 31, 2023 Accepting new patients
Hospitalist Medicine Physicians of Pennsylvania, P.C. CurrentSince Dec 1, 2023 Accepting new patients
Albert Gallatin Home Care and Hospice Services, LLC Past Accepting new patients

Locations

L2540
Columbus, OH 43260

1605 N Cedar Crest Blvd
Ste 110B
Allentown, PA 18104
Phone (610) 973-1410

535 N 17th St
Allentown, PA 18104
Phone (610) 432-4351

60 Highland Rd
Bethel Park, PA 15102
Phone (412) 531-6050

1 E Broad St
Ste 130
Bethlehem, PA 18018

3477 Corporate Pkwy
Ste 100
Center Valley, PA 18034
Phone (484) 626-0480

1 S Home Ave
Topton, PA 19562
Phone (610) 682-1275

1368 Mall Run Rd
Ste 628
Uniontown, PA 15401
Phone (724) 438-6660

559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1689817660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E BROAD ST STE 130",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185934",
            "telephone_number": "484-626-0480",
            "fax_number": "484-896-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3477 CORPORATE PKWY STE 100",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180348237",
            "telephone_number": "484-626-0480",
            "fax_number": "484-896-9002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 No. 17th Street",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181045016",
            "country_code": "US",
            "telephone_number": "419-531-2127 x107",
            "fax_number": "419-531-2664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEGFRIED",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-07",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP010190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "CODY",
            "middle_name": "ANN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Center Valley, PA

Sources for this page

Verify at the official NPI Registry.