STACY M SIEFERT (FNP) – Family Nurse Practitioner, NPI 1700519485

STACY M SIEFERT (FNP) is a healthcare provider. based in Osgood, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 71012731A (IN). The NPI Number for STACY M SIEFERT (FNP) is 1700519485

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
STACY M SIEFERT (FNP)
NPI
1700519485
Phone
(812) 689-3424
Address
112 N Buckeye St
Enumeration Date
8 July 2022
Last Update Date
27 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7656475126
Graduation Year
2022 (4 years ago)
PAC ID
8729462643
Group Practice PAC ID
5193714335
Professional Enrollment ID
I20220826000414
Address ID
IN470127901BR11137USXX201

Contacts

Secure Messaging
stacy.siefert@mmhealth.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:3State licenses:1Other namesUpdated within 12 months

8,192 NURSE PRACTITIONER in IN

Provider Addresses for STACY M SIEFERT (FNP)

  • 112 N Buckeye St

    Osgood, IN 470371134

    Phone: (812) 689-3424

    Fax: (812) 933-5237

    Type: Location

  • 321 Mitchell Ave

    Batesville, IN 470068909

    Phone: (812) 934-6624

    Type: Location

  • 23015 POCKET RD

    BATESVILLE, IN 470069509

    Phone: (812) 363-3006

    Type: Mailing

  • 955 N MICHIGAN AVE

    GREENSBURG, IN 472401487

    Phone: (812) 222-3627

    Type: Location

  • PO BOX 236

    BATESVILLE, IN 470060236

    Phone: (812) 933-5441

    Fax: (812) 933-5446

    Type: Mailing

  • 11137 US HIGHWAY 52

    BROOKVILLE, IN 470127901

    Phone: (765) 647-5126

    Fax: (765) 647-5900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2023-07-22 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($17).

Total Amount

$34

General + Research + Ownership

Payments

2

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-08-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220826000414INurse PractitionerINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 47037)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193714335View full group profile
NameSpecialtyState
Diagnostic RadiologyOH
-IN
Nurse PractitionerIN
Family PracticeIN
Mental Health CounselorIN
-IN
General SurgeryIN
-IN
Diagnostic RadiologyIN
Nurse PractitionerIN

Reviews

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Frequently asked questions

What federal number belongs to STACY M SIEFERT (FNP)?
The federal identifier for STACY M SIEFERT (FNP) is NPI 1700519485.
Is STACY M SIEFERT (FNP)'s NPI currently valid?
The extract we use shows STACY M SIEFERT (FNP) as active.
What does STACY M SIEFERT (FNP) treat or focus on?
Patients typically see STACY M SIEFERT (FNP) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is STACY M SIEFERT (FNP)'s primary listing?
We display Osgood, Indiana because that is what the record indicates for STACY M SIEFERT (FNP).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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