Kelsie Lois Sievers | Roseville, CA • PECOS Search

Kelsie Lois Sievers

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

2 Medical Plaza Dr Ste 175, Roseville, CA 95661-3049

(916) 782-2146 (760) 265-0530

PECOS Enrollment

Based on the most recent information from CMS, provider Kelsie Lois Sievers does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1134819493
Provider Type
Individual
Full Name
Sievers, Kelsie Lois
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
5/10/2023
Last Updated
5/10/2023

Contact Information

Practice Location

2 Medical Plaza Dr Ste 175, Roseville, CA 95661-3049

Unlisted Fax

Mailing Location

16543 Kasota Rd, Apple Valley, CA 92307-1352

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer