Individual provider Active NPI

Cynthia Snider, APRN

  • Nurse Practitioner
  • Carbondale, IL
National Provider Identifier
1003478066
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
277003892 Issued in IL
Practice address
2601 W Main St
Carbondale, IL 62901-1031
Phone
(618) 549-5361
Fax
(618) 351-4878
NPI assigned
Jun 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2019024744 MO
Nurse Practitioner 363L00000X 277003892 IL Primary

Addresses

Primary practice location

2601 W Main St
Carbondale, IL 62901-1031

Mailing address

PO Box 3988
Carbondale, IL 62902-3988
Phone (618) 457-5200

Other practice location 1

405 Rushing Dr
Herrin, IL 62948-3730
Phone (618) 993-3300

Other practice location 2

502 W Saint Louis St Ste 4
West Frankfort, IL 62896-1968
Phone (618) 937-3400

Other practice location 3

117 E Clark St
Harrisburg, IL 62946-2702
Phone (618) 252-8625

Other identifiers 1

IdentifierTypeStateIssuer
2019024744OtherMOMO STATE LICENSE

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address csnider85980@sih.direct-ci.com
Direct Messaging Address csnider85980@sih.direct-ci.com
Direct Messaging Address csnider85980@sih.direct-ci.com
Direct Messaging Address csnider85980@sih.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191127000504 MO Practitioner - Nurse Practitioner 0042643355 Reassigns benefits to 2 organizations
I20251104004466 IL Practitioner - Nurse Practitioner 0042643355 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
277003892ILMDNurse Practitioner
2019024744MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Illinois Medical Services, NFP CurrentSince Oct 21, 2025 Accepting new patients
Southeast Missouri Hospital Physicians, LLC CurrentSince Jul 19, 2021 Accepting new patients
Mercy Hospital Perry CurrentSince Jul 7, 2025 Accepting new patients
Memorial Hospital CurrentSince Nov 17, 2025 Accepting new patients
Mercy Hospital Perry Current Accepting new patients
Memorial Hospital CurrentSince Nov 17, 2025 Accepting new patients
Memorial Hospital Nurse Practitioner Past Accepting new patients

Locations

2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300

1900 State St
Chester, IL 62233
Phone (618) 826-2388

117 E Clark St
Harrisburg, IL 62946
Phone (618) 252-8625

405 Rushing Dr
Herrin, IL 62948
Phone (618) 993-3300

502 W Saint Louis St
Ste 4
West Frankfort, IL 62896
Phone (618) 937-3400

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

1508 Edgemont Blvd
Perryville, MO 63775
Phone (573) 339-2000

624 Old St Marys Rd
Ste A
Perryville, MO 63775
Phone (573) 547-3232

624 Old St Marys Rd
Perryville, MO 63775
Phone (573) 517-7900

434 N West St
Perryville, MO 63775
Phone (573) 547-2530

Interoperability endpoints

  • Direct secure messaging: csnider85980@sih.direct-ci.com

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 21

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Hospital Perry 115 clinicians
Memorial Hospital 29 clinicians
Southern Illinois Medical Services NFP 331 clinicians
Logan Primary Care Service Corp. 33 clinicians
Southeast Missouri Hospital Physicians LLC 206 clinicians

Practice addresses (Care Compare)

1508 Edgemont Blvd
Perryville, MO 63775-1231
Phone (573) 768-3220

1900 State St
Chester, IL 62233-1116
Phone (618) 826-4581

2601 W Main St
Carbondale, IL 62901-1031
Phone (618) 549-5361

405 Rushing Dr
Herrin, IL 62948-3730
Phone (618) 993-3300

624 Old Saint Marys Rd
Suite a
Perryville, MO 63775-1844
Phone (573) 547-3232

Hospital & facility affiliations

  • Memorial Hospital Hospital, Chester, IL, CCN 141338
  • Mercy Hospital Perry Hospital, Perryville, MO, CCN 261311
  • St Joseph Memorial Hospital Hospital, Murphysboro, IL, CCN 141334

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1003478066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3988",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629023988",
            "telephone_number": "618-457-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 W MAIN ST",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011031",
            "telephone_number": "618-549-5361",
            "fax_number": "618-351-4878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Rushing Dr",
            "address_purpose": "LOCATION",
            "city": "Herrin",
            "state": "IL",
            "postal_code": "629483730",
            "country_code": "US",
            "telephone_number": "618-993-3300",
            "fax_number": "618-993-0262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 W Saint Louis St Ste 4",
            "address_purpose": "LOCATION",
            "city": "West Frankfort",
            "state": "IL",
            "postal_code": "628961968",
            "country_code": "US",
            "telephone_number": "618-937-3400",
            "fax_number": "618-932-9010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "117 E Clark St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "IL",
            "postal_code": "629462702",
            "country_code": "US",
            "telephone_number": "618-252-8625",
            "fax_number": "618-351-4859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNIDER",
        "first_name": "CYNTHIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-30",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2019024744",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277003892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO STATE LICENSE",
            "identifier": "2019024744",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "csnider85980@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "2601 W Main St",
            "city": "Carbondale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629011031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "csnider85980@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "502 W Saint Louis St Ste 4",
            "city": "West Frankfort",
            "state": "IL",
            "country_code": "US",
            "postal_code": "628961968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "csnider85980@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "405 Rushing Dr",
            "city": "Herrin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629483730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "csnider85980@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "117 E Clark St",
            "city": "Harrisburg",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629462702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carbondale, IL

Sources for this page

Verify at the official NPI Registry.