MR. VANCE V SIEDENBURG (PA) – Physician Assistant, NPI 1114096831

MR. VANCE V SIEDENBURG (PA) is a healthcare provider. based in Scottsbluff, Nebraska. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. 830 (NE). The NPI Number for MR. VANCE V SIEDENBURG (PA) is 1114096831

Main info

Male
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
MR. VANCE V SIEDENBURG (PA)
NPI
1114096831
Phone
(308) 630-1348
Address
3911 AVENUE B STE G100
Enumeration Date
7 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3082366499
Graduation Year
1997 (29 years ago)
PAC ID
6305126665
Group Practice PAC ID
1052686466
Professional Enrollment ID
I20171011002897
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MR. VANCE V SIEDENBURG (PA)

  • 3911 AVENUE B STE G100

    SCOTTSBLUFF, NE 693614617

    Phone: (308) 630-1348

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 69361)

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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: 1052686466View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNE
C H I R O P R A C T I CNE
Nurse PractitionerNE
Physician AssistantNE
C H I R O P R A C T I CNE
C H I R O P R A C T I CNE
C H I R O P R A C T I CSD
Physical Therapist In Private PracticeCO
C H I R O P R A C T I CNE
C H I R O P R A C T I CNE

Reviews

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Frequently asked questions

How is MR. VANCE V SIEDENBURG (PA) identified in CMS data?
CMS-hosted NPPES data lists MR. VANCE V SIEDENBURG (PA) with NPI 1114096831.
Is MR. VANCE V SIEDENBURG (PA) listed as active for patients and plans?
The listing shows MR. VANCE V SIEDENBURG (PA) as active in the NPI system.
What is MR. VANCE V SIEDENBURG (PA)'s specialty?
The listing groups MR. VANCE V SIEDENBURG (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for MR. VANCE V SIEDENBURG (PA)?
MR. VANCE V SIEDENBURG (PA)'s geographic hint is Scottsbluff, Nebraska in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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