Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DEIDRA SIECK MD
NPI 1952097453
Family Medicine in Saint Cloud, MN

Q: What is Deidra Sieck's NPI number?

The NPI number for Deidra Sieck is 1952097453. It was assigned to this individual provider in the NPPES registry on April 17, 2023.

Q: What is Deidra Sieck's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Deidra Sieck was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.

Active since April 17, 2023PECOS Enrolled

1555 NORTHWAY DR STE 200, SAINT CLOUD, MN 56303(320) 240-3157(320) 240-3165 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 3, 2026, Sep 30, 2024 (2 updates tracked since 2024).

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About Dr. Deidra Sieck Md NPPES

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

DR. DEIDRA SIECK MD (NPI 1952097453) is an individual family medicine provider in Saint Cloud, Minnesota, licensed in Minnesota (81093) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952097453

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. DEIDRA SIECKCredential: MD

Location Address1555 NORTHWAY DR STE 200Saint Cloud, MN 56303-4913

Mailing Address1555 Northway Dr Ste 200Saint Cloud, MN 56303-4913 · (320) 240-3157 · Fax (320) 240-3165

Phone(320) 240-3157

Fax(320) 240-3165

Sole ProprietorNo

Enumeration DateApril 17, 2023

Last NPPES UpdateAugust 3, 20262 updates tracked since enumeration

NPPES CertifiedAugust 3, 2026

✔ NPI 1952097453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 81093

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1555 NORTHWAY DR STE 200, Saint Cloud, MN 56303

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Deidra Sieck Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56303 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

SARA TAROKH MD

Student in an Organized Health Care Education/Training Program