TERESA SIEFKE MS, AGACNP-BC
NPI 1245699453
Nurse Practitioner - Gerontology in Englewood, OH

Active since February 16, 2016PECOS EnrolledAccepts Medicare Assignment
9000 N MAIN ST, ENGLEWOOD, OH 45415(937) 208-8394(937) 208-8388 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 20, 2025, May 1, 2023, Nov 17, 2022 and 5 more (8 updates tracked since 2016).

About Teresa Siefke Ms, Agacnp-bc NPPES

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

TERESA SIEFKE MS, AGACNP-BC (NPI 1245699453) is an individual gerontology provider in Englewood, Ohio, licensed in South Carolina (27193) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, is affiliated with Lima Memorial Health System, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1245699453
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameTERESA SIEFKECredential: MS, AGACNP-BC
Location Address9000 N MAIN STEnglewood, OH 45415-1180
Mailing Address3170 Kettering Blvd Bldg B3Moraine, OH 45439-1924 · (937) 991-3188 · Fax (937) 223-9811
Fax(937) 208-8388
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 16, 2016
Last NPPES UpdateFebruary 20, 20258 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2025
✔ NPI 1245699453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Licenses✔ Licensed in SC · 27193✔ Licensed in PA · SP026035
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 71013185A (IN), APRN11019111 (FL), COA.17512-NP (OH)
9000 N MAIN ST, Englewood, OH 45415

Secondary Practice Locations 4

Location 12222 Philadelphia DrDayton, OH 45406-1813 · Phone (937) 734-3683
Location 23535 Pentagon BlvdBeavercreek, OH 45431-1705 · Phone (937) 702-4450
Location 3850 Tuck StLebanon, PA 17042-7477 · Phone (717) 272-8173 · Fax (717) 272-4029
Location 43 Richland Medical Park Dr Ste 310Columbia, SC 29203-6862 · Phone (803) 434-8323 · Fax (803) 434-8326

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Teresa Siefke Ms, Agacnp-bc 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 ID8921384645
PECOS Enrollment IDI20170412001845
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.

Medicare Billing Reassignments

12

Medicare enrollment records show Teresa Siefke reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopaedic Surgery
9000 N MAIN ST, STE 227
Dayton, OH 45415
  • Reassigned Medicare billing, Ohio enrollment
  • 812 clinicians in this Medicare group
4.0 mi
Family Medicine
3038 OLIVE RD
Trotwood, OH 45426
  • Reassigned Medicare billing, Ohio enrollment
  • 744 clinicians in this Medicare group
Pulmonary Disease
1520 S MAIN ST STE 2
Dayton, OH 45409
  • Reassigned Medicare billing, Ohio enrollment
  • 38 clinicians in this Medicare group
Family Medicine
3130 N COUNTY ROAD 25A
Troy, OH 45373
  • Reassigned Medicare billing, Ohio enrollment
  • 405 clinicians in this Medicare group
Orthopaedic Surgery
1 PRESTIGE PL, SUITE 910
Miamisburg, OH 45342
  • Reassigned Medicare billing, Ohio enrollment
  • 984 clinicians in this Medicare group
Cardiovascular Disease
2139 AUBURN AVE
Cincinnati, OH 45219
  • Reassigned Medicare billing, Ohio enrollment
  • 154 clinicians in this Medicare group
Critical Care Medicine
1001 BELLEFONTAINE AVE
Lima, OH 45804
  • Reassigned Medicare billing, Ohio enrollment
  • 42 clinicians in this Medicare group
Dentist
1044 BELMONT AVE
Youngstown, OH 44504
  • Reassigned Medicare billing, Ohio enrollment
  • 744 clinicians in this Medicare group
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
Internal Medicine
1225 SOUTH GRAND BLVD, 2L - DOOR 3,4
Saint Louis, MO 63104
  • Reassigned Medicare billing, Missouri enrollment
  • 1,294 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
26 services26 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lima Memorial Health System

Acute Care Hospitals · Lima, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360009
Location1001 Bellefontaine AvenueLima, OH 45804 · Allen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45415 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers18 claims18 services$28.92 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers13 claims13 services$65.28 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers12 claims23 services$24.86 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers15 claims78 services$13.18 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers15 claims15 services$40.56 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers19 claims19 services$13.97 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

9000 N MAIN ST
DAYTON, OH 45415
Obstetrics & Gynecology
9000 N MAIN ST, SUITE 232
DAYTON, OH 45415
Advanced Practice Midwife
9000 N MAIN ST, SUITE 232
DAYTON, OH 45415
Internal Medicine (Infectious Disease)
9000 N MAIN ST, INFUSION SERVICES
DAYTON, OH 45415
Internal Medicine (Cardiovascular Disease)
9000 N MAIN ST, STE 101
DAYTON, OH 45415
Family Medicine
9000 N MAIN ST
ENGLEWOOD, OH 45415
Orthopaedic Surgery
9000 N MAIN ST, STE 227
DAYTON, OH 45415
Physician Assistant
9000 N MAIN ST, STE 227
DAYTON, OH 45415

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Teresa Siefke's NPI number?

The NPI number for Teresa Siefke is 1245699453. It was assigned to this individual provider in the NPPES registry on February 16, 2016.

Where is Teresa Siefke located?

Teresa Siefke practices at 9000 N Main St, Englewood, OH 45415. The listed phone number is (937) 208-8394.

What is Teresa Siefke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Teresa Siefke enrolled in Medicare?

Yes. Teresa Siefke is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Teresa Siefke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teresa Siefke reassigns Medicare benefits to 12 organizations: Premier Health Specialists Inc (Dayton, OH), Mvhe Inc (Trotwood, OH), Pulmonary & Critical Care Consultants, Inc (Dayton, OH), Upper Valley Professional Corporation (Troy, OH), Kettering Independent Medical Group Inc (Miamisburg, OH) and 7 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Teresa Siefke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Teresa Siefke accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Teresa Siefke as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Teresa Siefke affiliated with any hospitals?

According to CMS data, Teresa Siefke is affiliated with Lima Memorial Health System.

When was this NPI record last updated?

The NPPES record for Teresa Siefke was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.