Individual provider Active NPI

Marc Siebert, NP

  • Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1932536240
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F306570 Issued in NY
Practice address
462 Grider St
Buffalo, NY 14215
Phone
(716) 898-3000
NPI assigned
Oct 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F306570-1 NY
Nurse Practitioner 363L00000X F306570 NY Primary

Addresses

Primary practice location

462 Grider St
Buffalo, NY 14215

Mailing address

8641 Highland Dr
Eden, NY 14057-9502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20150826001042 NY Practitioner - Nurse Practitioner 3577879204 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.97 of 100Reported as group
Quality
80.2
Improvement activities
40
Cost
72.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F306570NYMDNurse Practitioner
F306570-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo Medical Group, P.C. CurrentSince Nov 20, 2014 Accepting new patients
Erie County Medical Center Corporation CurrentSince Jun 16, 2018 Accepting new patients
Erie County Medical Center Corporation CurrentSince Jun 16, 2018 Accepting new patients
Kaleida Health Current Accepting new patients
Buffalo Internist & Associates LLC CurrentSince Oct 21, 2017 Accepting new patients
Roswell Park Cancer Institute CurrentSince Nov 15, 2015 Accepting new patients
Roswell Park Cancer Institute CurrentSince Nov 15, 2015 Accepting new patients
Buffalo Medical Group, P.C. CurrentSince Nov 20, 2014 Accepting new patients
Kaleida Health CurrentSince Jan 1, 2014 Accepting new patients
Kaleida Health CurrentSince Jan 1, 2014 Accepting new patients

Locations

Elm Carlton St
Buffalo, NY 14263
Phone (716) 828-2666

Elm and Carlton St
Buffalo, NY 14263

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

85 High St
Buffalo, NY 14203
Phone (716) 857-8623

St
Buffalo, NY 14263

Dept 8000
Buffalo, NY 14267

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613

Organizations & group practices 10

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": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1932536240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8641 HIGHLAND DR",
            "city": "EDEN",
            "state": "NY",
            "postal_code": "140579502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 GRIDER ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14215",
            "telephone_number": "716-898-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEBERT",
        "first_name": "MARC",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-01",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F306570-1",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F306570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.