BLAIRE A SIEFKEN (FNP) – Family Nurse Practitioner, NPI 1073861050

BLAIRE A SIEFKEN (FNP) is a healthcare provider. based in Calais, Maine. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. CNP151071 (ME). The NPI Number for BLAIRE A SIEFKEN (FNP) is 1073861050

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
BLAIRE A SIEFKEN (FNP)
NPI
1073861050
Phone
(207) 454-7521
Address
24 HOSPITAL LN
Enumeration Date
22 August 2012
Last Update Date
10 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2075322900
Graduation Year
2012 (14 years ago)
PAC ID
6204085335
Group Practice PAC ID
0042127946
Professional Enrollment ID
I20150901003073
Address ID
ME047301891HO20XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,869 NURSE PRACTITIONER in ME

Provider Addresses for BLAIRE A SIEFKEN (FNP)

  • 24 HOSPITAL LN

    CALAIS, ME 046191329

    Phone: (207) 454-7521

    Fax: (207) 454-3616

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-05-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20150901003073INurse PractitionerMETBD
I20200507003064INurse PractitionerMATBD

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 04619)

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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: 0042127946View full group profile
NameSpecialtyState
Pain Management, Physical Medicine And Rehabilitation, Emergency MedicineME
Nurse PractitionerME
Diagnostic RadiologyMD
Internal MedicineME
Interventional Radiology, Nuclear Medicine, Diagnostic RadiologyKS
Diagnostic RadiologyNH
Diagnostic RadiologyMN
-ME
O B S T E T R I C S/ G Y N E C O L O G YME
Nurse PractitionerME

Reviews

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Frequently asked questions

What is the 10-digit NPI for BLAIRE A SIEFKEN (FNP)?
BLAIRE A SIEFKEN (FNP) — NPI 1073861050 — is the standard way to identify this listing.
Is BLAIRE A SIEFKEN (FNP) listed as active for patients and plans?
The listing shows BLAIRE A SIEFKEN (FNP) as active in the NPI system.
What is BLAIRE A SIEFKEN (FNP)'s primary classification?
Family Nurse Practitioner is the headline specialty for BLAIRE A SIEFKEN (FNP) here. Clinical services aligned with this taxonomy classification.
Where is BLAIRE A SIEFKEN (FNP) based?
BLAIRE A SIEFKEN (FNP) is tied to Calais, Maine in the data we show; additional addresses may exist on the full record.
Is the information about BLAIRE A SIEFKEN (FNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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