BETTINA MARIE SIEBENECK NP
NPI 1093079030
Nurse Practitioner - Family in Glendale, AZ

Q: What is Bettina Siebeneck's NPI number?

The NPI number for Bettina Siebeneck is 1093079030. It was assigned to this individual provider in the NPPES registry on June 25, 2012.

Q: What is Bettina Siebeneck's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Bettina Siebeneck was last updated on November 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 25, 2012PECOS EnrolledAccepts Medicare Assignment

5810 W BEVERLY LN, GLENDALE, AZ 85306(623) 312-3000(623) 312-3060 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 15, 2022, Aug 24, 2018 (2 updates tracked since 2018).

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About Bettina Marie Siebeneck Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETTINA MARIE SIEBENECK NP (NPI 1093079030) is an individual family provider in Glendale, Arizona, licensed in Arizona (AP11384) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1093079030

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameBETTINA MARIE SIEBENECKCredential: NP

Location Address5810 W BEVERLY LNGlendale, AZ 85306

Mailing AddressPo Box 6423Chandler, AZ 85246-6423 · (623) 312-3000 · Fax (623) 312-3060

Phone(623) 312-3000

Fax(623) 312-3060

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJune 25, 2012

Last NPPES UpdateNovember 15, 20222 updates tracked since enumeration

NPPES CertifiedNovember 15, 2022

✔ NPI 1093079030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · AP11384

5810 W BEVERLY LN, Glendale, AZ 85306

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, CareSource, Imperial Insurance Companies, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bettina Marie Siebeneck Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325204340

PECOS Enrollment IDI20181109002396

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

29 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85306 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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