Active NPI
Stacy M Siefert, FNP
- Family Nurse Practitioner
- Brookville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71012731A
- Practice address
- 11137 US Highway 52
Brookville, IN 47012-7901 - Phone
- (765) 647-5126
- Fax
- (765) 647-5900
- NPI assigned
- Jul 8, 2022
- Sex
- Female
- Sole proprietor
- No
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.
-
- Rural Health Clinic/Center
- Brookville, IN
- NPI 1164132510
-
- Internal Medicine Physician
- Batesville, IN
- NPI 1316118730
-
- Obstetrics & Gynecology Physician
- Greensburg, IN
- NPI 1336258581
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220826000414 | IN | Practitioner - Nurse Practitioner | 8729462643 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71012731A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Margaret Mary Community Hospital Inc | Current | Accepting new patients | |
| Margaret Mary Community Hospital, Inc | Current | Accepting new patients | |
| Margaret Mary Community Hospital, Inc | Current | Accepting new patients | |
| Jeffrey a. Hatcher, MD, PC | Past | Accepting new patients |
Locations
256 State Road 129 S
Batesville, IN 47006
Phone (812) 932-4700
24 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 376-3100
321 Mitchell Ave
Batesville, IN 47006
Phone (812) 933-5018
26 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 934-5252
11137 US 52
#A
Brookville, IN 47012
Phone (765) 647-5126
11137 US Highway 52
Brookville, IN 47012
Phone (765) 646-5126
720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349
112 N Buckeye St
Osgood, IN 47037
Phone (812) 689-3424
Interoperability endpoints
- stacy.siefert@mmhealth.cernerdirect.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71012731A | IN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
11137 US Highway 52
Brookville, IN 47012-7901
Mailing address
PO Box 236
Batesville, IN 47006-0236
Phone (812) 933-5441
Other practice location 1
112 N Buckeye St
Osgood, IN 47037-1134
Phone (812) 689-3424
Other practice location 2
321 Mitchell Ave
Batesville, IN 47006-8909
Phone (812) 934-6624
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | stacy.siefert@mmhealth.cernerdirect.com | Health Information Exchange (HIE) | MARGARET MARY COMMUNITY HOSPITAL, INC |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 27, 2023.
{
"created_epoch": "1657238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1700519485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 236",
"city": "BATESVILLE",
"state": "IN",
"postal_code": "470060236",
"telephone_number": "812-933-5441",
"fax_number": "812-933-5446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11137 US HIGHWAY 52",
"city": "BROOKVILLE",
"state": "IN",
"postal_code": "470127901",
"telephone_number": "765-647-5126",
"fax_number": "765-647-5900"
}
],
"practiceLocations": [
{
"address_1": "112 N Buckeye St",
"address_purpose": "LOCATION",
"city": "Osgood",
"state": "IN",
"postal_code": "470371134",
"country_code": "US",
"telephone_number": "812-689-3424",
"fax_number": "812-933-5237",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "321 Mitchell Ave",
"address_purpose": "LOCATION",
"city": "Batesville",
"state": "IN",
"postal_code": "470068909",
"country_code": "US",
"telephone_number": "812-934-6624",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIEFERT",
"first_name": "STACY",
"middle_name": "M",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-08",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71012731A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "stacy.siefert@mmhealth.cernerdirect.com",
"affiliation": "Y",
"affiliationName": "MARGARET MARY COMMUNITY HOSPITAL, INC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "321 Mitchell Ave",
"city": "Batesville",
"state": "IN",
"country_code": "US",
"postal_code": "470068909",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brookville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.