Teresa Siefke, MS, AGACNP-BC - Medicare Nurse Practitioner in Englewood, OH

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Teresa Siefke, MS, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Gerontology" in Englewood, Ohio. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kettering Independent Medical Group Inc, Mercy Health Physicians Youngstown Specialty Care Llc, Prisma Health Medical Group-midlands and her current practice location is 9000 N Main St, Englewood, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 208-8394.

Teresa Siefke is licensed to practice in South Carolina (license number 27193) 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 1245699453.

Contact Information

Teresa Siefke, MS, AGACNP-BC
9000 N Main St,
Englewood, OH 45415-1180
(937) 208-8394
(937) 208-8388

Map and Direction




Provider's Profile

Full NameTeresa Siefke
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location9000 N Main St, Englewood, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Teresa Siefke graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1245699453
  • Provider Enumeration Date: 02/16/2016
  • Last Update Date: 02/20/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8921384645
  • Enrollment ID: I20170412001845

Medical Identifiers

Medical identifiers for Teresa Siefke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245699453NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 71013185A (Indiana)Secondary
363LA2100XNurse Practitioner - Acute Care APRN11019111 (Florida)Secondary
363LA2100XNurse Practitioner - Acute Care COA.17512-NP (Ohio)Secondary
363LG0600XNurse Practitioner - Gerontology SP026035 (Pennsylvania)Secondary
363LG0600XNurse Practitioner - Gerontology 27193 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hmhp St Elizabeth Boardman Health CenterBoardman, OHHospital
Prisma Health Richland HospitalColumbia, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kettering Independent Medical Group Inc3173710936602
Mercy Health Physicians Youngstown Specialty Care Llc3476950296388
Prisma Health Medical Group-midlands5991099707919

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. Teresa Siefke allows following entities to bill medicare on her behalf.
Entity NameMvhe Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659504785
PECOS PAC ID: 9537066584
Enrollment ID: O20031217000553
Entity NameUpper Valley Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407872518
PECOS PAC ID: 5597658138
Enrollment ID: O20040206000038
Entity NamePulmonary & Critical Care Consultants, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861432379
PECOS PAC ID: 9234115379
Enrollment ID: O20040628001629
Entity NamePremier Health Specialists Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194958223
PECOS PAC ID: 5597708594
Enrollment ID: O20050610000010
Entity NameKettering Independent Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629387865
PECOS PAC ID: 3173710936
Enrollment ID: O20101207000425
Entity NameMercy Health Physicians Youngstown Specialty Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649892225
PECOS PAC ID: 3476950296
Enrollment ID: O20210921003835

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. Teresa Siefke 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 AddressPractice Location Address
Teresa Siefke, MS, AGACNP-BC
3170 Kettering Blvd Bldg B3,
Moraine, OH 45439-1924

Ph: (937) 991-3188		Teresa Siefke, MS, AGACNP-BC
9000 N Main St,
Englewood, OH 45415-1180

Ph: (937) 208-8394

Reviews and Comments


Nurse Practitioner Nurses in Englewood, OH

Lauren Hopkins, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 9000 N Main St Ste 101, Englewood, OH 45415
Phone: 937-832-2425    
Zarifa I Mamatova,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 9000 N Main St Ste 202, Englewood, OH 45415
Phone: 937-832-9700    
Ms. Krista A Miller, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1250 W National Rd Ste 400, Englewood, OH 45315
Phone: 937-836-6000    Fax: 937-832-4805
Ashley Nicole Mowen, APRN-CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 104 Westrock Farm Dr, Englewood, OH 45322
Phone: 937-307-3705    
Amy Renee Letts, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 9000 N Main St, Suite 305, Englewood, OH 45415
Phone: 937-836-5542    Fax: 937-836-4152
Stacey Michelle Mcroberts, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9000 N Main St, Englewood, OH 45415
Phone: 937-991-3188    
Emily Ann Allen, MSN, AGACNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9000 N Main St, Englewood, OH 45415
Phone: 937-541-3563    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.