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

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: November 01, 2026.

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

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 and is a graduate of Other (2022).

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
Medical School CMSOtherGraduated 2022
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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID3678933876
PECOS Enrollment IDI20260723004101
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 Reassignment

Medicare enrollment records show Deidra Sieck reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centracare Clinic Southwest LLC
53 mi
Multi-Specialty
101 WILLMAR AVE SW
Willmar, MN 56201
  • Reassigned Medicare billing, Minnesota enrollment
  • 236 clinicians in this Medicare group
NPI 1174106264 (320) 231-5000

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

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
1555 NORTHWAY DR STE 200
SAINT CLOUD, MN 56303
Stearns County (320) 240-3112
FARIHA FURQAN QURESHI MD
Family Medicine
1555 NORTHWAY DR STE 200
SAINT CLOUD, MN 56303
Stearns County (320) 240-3157
SADIO AHMED MOHAMED MD
Family Medicine
1555 NORTHWAY DR STE 200
SAINT CLOUD, MN 56303
Stearns County (320) 240-3157
BASMA ALI KHAN
Student in an Organized Health Care Education/Training Program
1555 NORTHWAY DR STE 200
SAINT CLOUD, MN 56303
Stearns County (320) 240-3157
JENNIFER ANN TARPENNING MD
Family Medicine
1555 NORTHWAY DR STE 200
SAINT CLOUD, MN 56303
Stearns County (320) 240-3157
DUSTYN JON LEFF
Student in an Organized Health Care Education/Training Program
1555 NORTHWAY DR STE 200
SAINT CLOUD, MN 56303
Stearns County (320) 240-3112
DR. BASHIR MOALLIN MBBS
Family Medicine
1555 NORTHWAY DR STE 200
SAINT CLOUD, MN 56303
Stearns County (320) 240-3157
JORDAN KAYE OLIPHANT MD
Student in an Organized Health Care Education/Training Program
1555 NORTHWAY DR STE 200
SAINT CLOUD, MN 56303
Stearns County (320) 240-3157

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 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.

Where is Deidra Sieck located?

Deidra Sieck practices at 1555 Northway Dr Ste 200, Saint Cloud, MN 56303. The listed phone number is (320) 240-3157.

What is Deidra Sieck's specialty?

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

Is Deidra Sieck enrolled in Medicare?

Yes. Deidra Sieck is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Deidra Sieck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deidra Sieck reassigns Medicare benefits to Centracare Clinic Southwest LLC (Willmar, MN). The 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 Deidra Sieck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Deidra Sieck accept?

Health plans from HealthPartners and Sanford Health Plan list Deidra Sieck 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.

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 3 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.