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

Mark Leon Siebe, PA-C

Individual provider Physician Assistant · NPI 1053801886

Mark Leon Siebe, PA-C is a Physician Assistant in Fort Campbell, Kentucky. Qualified in 2018, 8 years ago. Practices with Southeast Alaska Regional Health Consortium, a 368-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
8
Licensed in
TN
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Partly verified

Some contact details are missing from the federal record.

Blanchfield Army Community Hospital 650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (270) 798-8727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 717 Shenandoah Dr, Brentwood, TN 37027-6023 — (615) 630-2250
  • 2201 Murphy Ave Ste 204, Nashville, TN 37203-1952 — (615) 321-3511

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 3649 (TN)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1053801886
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 17, 2018
Last updated in NPPESAugust 28, 2020
Certification dateAugust 24, 2020
Mailing address1046 Weston Ct, Brentwood, TN 37027-2404

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Southeast Alaska Regional Health Consortium — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Fort Campbell