ELIZABETH SIEDERS (PA-C) – Physician Assistant, NPI 1588042063

ELIZABETH SIEDERS (PA-C) is a healthcare provider. based in Pendleton, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA179971 (OR). The NPI Number for ELIZABETH SIEDERS (PA-C) is 1588042063

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH SIEDERS (PA-C)
NPI
1588042063
Phone
(541) 966-9830
Address
PO BOX 160
Enumeration Date
15 May 2015
Last Update Date
15 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5419669830
Graduation Year
2016 (10 years ago)
PAC ID
7012293301
Group Practice PAC ID
6608924121
Professional Enrollment ID
I20170421001653
Address ID
OR978019417PE46314WAYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for ELIZABETH SIEDERS (PA-C)

  • PO BOX 160

    PENDLETON, OR 978010160

    Phone: (541) 966-9830

    Type: Mailing

  • 46314 TIMINE WAY

    PENDLETON, OR 97801

    Phone: (541) 966-9830

    Fax: (541) 240-8751

    Type: Location

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: 2017-04-21

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
I20170421001653IPhysician AssistantTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample21089$0
99214Established patient office or other outpatient visit, 30-39 minutes15486$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count11677$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional10434$0
99213Established patient office or other outpatient visit, 20-29 minutes10168$0
View full utilization report →

Insurance plans in this area (ZIP 97801)

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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: 6608924121View full group profile
NameSpecialtyState
Physical Therapist In Private PracticePA
Physician AssistantOR
Physical Therapist In Private PracticeNV
Registered Dietitian Or Nutrition ProfessionalOR
Nurse PractitionerWA
Physical Therapist In Private PracticeCA
-OR
Clinical Social WorkerOR
-OR
P O D I A T R YOH

Reviews

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Frequently asked questions

What NPI should I save for ELIZABETH SIEDERS (PA-C)?
Save NPI 1588042063 if you need a stable reference for ELIZABETH SIEDERS (PA-C).
Is ELIZABETH SIEDERS (PA-C) currently active in the NPI registry?
CMS-published data lists ELIZABETH SIEDERS (PA-C) as an active registrant.
What kind of provider is ELIZABETH SIEDERS (PA-C)?
The page reflects Physician Assistant for ELIZABETH SIEDERS (PA-C). Clinical services aligned with this taxonomy classification.
Where is ELIZABETH SIEDERS (PA-C)'s primary listing?
We display Pendleton, Oregon because that is what the record indicates for ELIZABETH SIEDERS (PA-C).
Is ELIZABETH SIEDERS (PA-C) a real provider?
This page reflects official NPPES data for NPI 1588042063. Always confirm identity and privileges with the practice and licensing boards.

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