Jordan Sieh, is a medicare enrolled "Nurse Practitioner - Family" in Gothenburg, Nebraska. She graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Gothenburg Memorial Hospital and her current practice location is
910 20th St, Gothenburg, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(308) 537-3661.
Jordan Sieh is licensed to practice in Nebraska (license number 115573) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1881069409.
Provider's Profile
| Full Name | Jordan Sieh |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 910 20th St, Gothenburg, Nebraska |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jordan Sieh graduated from nursing school in 2024
NPI Data:
- NPI Number: 1881069409
- Provider Enumeration Date: 12/08/2015
- Last Update Date: 11/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608301494
- Enrollment ID: I20241203002932
Medical Identifiers
Medical identifiers for Jordan Sieh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1881069409 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 115573 (Nebraska) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Gothenburg Memorial Hospital | 6709832983 | 10 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jordan Sieh allows following entities to bill medicare on her behalf.
| Entity Name | Gothenburg Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922051531 PECOS PAC ID: 6709832983 Enrollment ID: O20050330001110 |
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| Entity Name | Gothenburg Memorial Hospital |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1922051531 PECOS PAC ID: 6709832983 Enrollment ID: O20070123000252 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan Sieh is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jordan Sieh, 910 20th St, Gothenburg, NE 69138-1237 Ph: (308) 537-5634 | Jordan Sieh, 910 20th St, Gothenburg, NE 69138-1237 Ph: (308) 537-3661 |
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