Individual provider Active NPI

Summer Sievert, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1962060848
Registry record updated Jan 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3014591 Issued in KY
Practice address
1043 Pedigo Way Ste 13
Bowling Green, KY 42103-7197
Phone
(270) 439-8304
Fax
(386) 217-6025
NPI assigned
Jun 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3014591 KY Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11004703 FL

Addresses

Primary practice location

1043 Pedigo Way Ste 13
Bowling Green, KY 42103-7197

Mailing address

1945 Scottsville Rd # B2-328
Bowling Green, KY 42104-3376
Phone (386) 227-6050

Other practice location 1

5753 Highway 85 N Ste 7937
Crestview, FL 32536-9365
Phone (386) 227-6050

Other practice location 2

31 E Maple St Ste 1-A
Scottsville, KY 42164-1476
Phone (270) 439-8304

Other identifiers 2

IdentifierTypeStateIssuer
7100676170MedicaidKY
7100677180MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, FL2 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
I20200803000354 KY Practitioner - Nurse Practitioner 6305261702 Reassigns benefits to 1 organization
I20220819000909 FL Practitioner - Nurse Practitioner 6305261702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Insight Psychiatry Center LLCGroup PAC ID 5496170896, 3 clinicians

Practice addresses (Care Compare)

31 E Maple St
Suite 1a
Scottsville, KY 42164-1476
Phone (386) 227-6050

631 Lake Pearl Dr
Lake Helen, FL 32744-2540
Phone (386) 227-6050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11004703FLMDPsychiatric/Mental Health Nurse Practitioner

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767484800000",
    "number": "1962060848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 SCOTTSVILLE RD # B2-328",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043376",
            "telephone_number": "386-227-6050",
            "fax_number": "386-217-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 PEDIGO WAY STE 13",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037197",
            "telephone_number": "270-439-8304",
            "fax_number": "386-217-6025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5753 Highway 85 N Ste 7937",
            "address_purpose": "LOCATION",
            "city": "Crestview",
            "state": "FL",
            "postal_code": "325369365",
            "country_code": "US",
            "telephone_number": "386-227-6050",
            "fax_number": "386-217-6025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 E Maple St Ste 1-A",
            "address_purpose": "LOCATION",
            "city": "Scottsville",
            "state": "KY",
            "postal_code": "421641476",
            "country_code": "US",
            "telephone_number": "270-439-8304",
            "fax_number": "386-217-6025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEVERT",
        "first_name": "SUMMER",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2026-01-04",
        "certification_date": "2026-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3014591",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11004703",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100676170",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100677180",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.