Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Abbie Lyn Siebenhaar, PAC

Individual provider Medical Physician Assistant · NPI 1295003234

Abbie Lyn Siebenhaar, PAC is a Physician Assistant in Salt Lake City, Utah. Qualified in 2011, 15 years ago. Practices with Utah Gastroenterology LLC, a 71-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
15
Licensed in
UT
In the registry since
2011
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

6360 S 3000 E Ste 310
Salt Lake City, UT 84121-6923
Phone: (801) 944-3199
Fax: (801) 944-3180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 9505091-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence 9505091-1206 (UT)

Record details

NPI number1295003234
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorYes
NPI enumeratedDecember 5, 2011
Last updated in NPPESOctober 14, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Utah Gastroenterology Llc — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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