Active NPI 1750374021 Individual Practitioner Female Practitioner

Kathleen Siebe , PNP

Nurse Practitioner - Pediatrics • Enterprise, OR

Professional Overview & Biography Verified Profile Summary

Kathleen Siebe, PNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Enterprise, OR. Practice services are available at 603 MEDICAL PARKWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

603 Medical Parkway

Enterprise, OR 978281168

Telephone 5414264502

Fax 5414266403

Associated Practice Facility / Clinic

🏢 Winding Waters Clinic Pc Facility NPI 1053304394

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Enterprise, OR

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 15.6 Yrs

Regional Practice Density

1 Specialists

Practicing in Enterprise, OR (225 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License OR 78040158

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

267989 (OR)

Commercial Insurance / Payer ID Bcbs

5966003 (OR)

Commercial Insurance / Payer ID Pacific Source

J054904 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Kelsey Stowell , LMT

Massage Therapist

NPI 1013451046

Licensed Massage Therapist

Stefanie Cedarbrook

Social Worker

NPI 1013637586

Randi Movich , RN

Registered Nurse

NPI 1013866581

Registered Nurse

Dr. Weston Baker , MD

Family Medicine

NPI 1023429883

Doctor of Medicine (M.D.)

Nora Stangel

Registered Nurse

NPI 1033038880

Kelly Fuller , RDH

Dental Hygienist

NPI 1104696152

Registered Dental Hygienist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 11, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location October 11, 2013

Registered at 603 MEDICAL PARKWAY, ENTERPRISE, OR 978281168 (Tel: 5414264502)

📍

Updated Business Mailing Address October 11, 2013

Registered at 603 MEDICAL PARKWAY, ENTERPRISE, OR 978281168 (Tel: 5414264502)

👤

Provider Name / Credentials Updated October 11, 2013

Recorded as KATHLEEN SIEBE, PNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2013

Nurse Practitioner (License #78040158 in OR)

🟢

Initial NPI Registration & Enumeration August 23, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750374021

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 23, 2005

Last Update: October 11, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

603 Medical Parkway

Enterprise, OR 978281168

Phone: 5414264502

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.