Individual provider Active NPI

Jeffrey Taylor Sievering, PA-C, MMS

  • Physician Assistant
  • Somers, CT
National Provider Identifier
1831253517
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1377 Issued in CT
Practice address
25 Somers Hill Cir
Somers, CT 06071-1928
Phone
(860) 763-0349
NPI assigned
Dec 20, 2006
Last updated
Mar 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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 1377 CT Primary
Medical Physician Assistant 363AM0700X 1377 CT
Medical Physician Assistant 363AM0700X PA02128 TX

Addresses

Primary practice location

25 Somers Hill Cir
Somers, CT 06071-1928

Mailing address

25 Somers Hill Cir
Somers, CT 06071-1928
Phone (860) 763-0349

Other practice location 1

515 Middle Tpke W
Manchester, CT 06040-3816
Phone (860) 533-4176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20071212000251 CT Practitioner - Physician Assistant 0244320471 Reassigns benefits to 3 organizations
I20260316001412 MA Practitioner - Physician Assistant 0244320471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prohealth Physicians PCGroup PAC ID 1355246950, 214 clinicians
Afc Physicians of Connecticut PCGroup PAC ID 5193966893, 39 clinicians

Practice addresses (Care Compare)

1050 Sullivan Ave
South Windsor, CT 06074-2000
Phone (860) 280-6368

115 Spencer St
Winsted, CT 06098-1140
Phone (860) 738-5814

135 E Main St
New Britain, CT 06051-1914
Phone (860) 357-6899

179 Talcottville Rd
Vernon, CT 06066-4615
Phone (860) 986-7600

2 Main St
Danbury, CT 06810-8047
Phone (203) 826-2140

206 Talcottville Rd
Vernon, CT 06066-4617
Phone (860) 645-1100

365 Queen St
Southington, CT 06489-1884
Phone (860) 863-5835

415 Killingworth Rd
Higganum, CT 06441-4370
Phone (860) 345-8535

515 Middle W Turnpike
Manchester, CT 06040-3816

950 Yale Ave
Wallingford, CT 06492-1858
Phone (203) 265-9600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA02128TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Physicians of Connecticut, PC CurrentSince May 2, 2025 Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince May 2, 2025 Accepting new patients
Afc Physicians of Massachusetts CurrentSince Feb 3, 2026 Accepting new patients
Afc Physicians of Massachusetts, PC CurrentSince Feb 3, 2026 Accepting new patients
Texas Health Physicians Group Past Accepting new patients
Tarrant Family Practice P.a Past Accepting new patients

Locations

2 Main St
Danbury, CT 06810
Phone (203) 826-2140

Interoperability endpoints

  • Direct secure messaging: jeffery.sievering.npi1831253517.phpct@direct.optumcare.masshiway.net

Organizations & group practices 9

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.

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": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1831253517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SOMERS HILL CIR",
            "city": "SOMERS",
            "state": "CT",
            "postal_code": "060711928",
            "telephone_number": "860-763-0349",
            "fax_number": "860-282-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SOMERS HILL CIR",
            "city": "SOMERS",
            "state": "CT",
            "postal_code": "060711928",
            "telephone_number": "860-763-0349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Middle Tpke W",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "CT",
            "postal_code": "060403816",
            "country_code": "US",
            "telephone_number": "860-533-4176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEVERING",
        "first_name": "JEFFREY",
        "middle_name": "TAYLOR",
        "name_prefix": "Mr.",
        "credential": "PA-C, MMS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "1377",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "1377",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA02128",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers, CT

Sources for this page

Verify at the official NPI Registry.