Active NPI
Cynthia Snider, APRN
- Nurse Practitioner
- Carbondale, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 277003892
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2019024744 | Other | MO | MO STATE LICENSE |
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 277003892 | IL | MD | Nurse Practitioner |
| 2019024744 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Illinois Medical Services, NFP | Current | Accepting new patients | |
| Southeast Missouri Hospital Physicians, LLC | Current | Accepting new patients | |
| Mercy Hospital Perry | Current | Accepting new patients | |
| Memorial Hospital | Current | Accepting new patients | |
| Mercy Hospital Perry | Current | Accepting new patients | |
| Memorial Hospital | Current | 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
- 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.
-
- Internal Medicine Physician
- Carbondale, IL
- NPI 1770656837
IL
-
- Family Medicine Physician
- Cape Girardeau, MO
- NPI 1558311522
MO
-
- Institutional Pharmacy
- Chester, IL
- NPI 1023603289
-
- Rural Health Clinic/Center
- Perryville, MO
- NPI 1639858855
-
- Rural Health Clinic/Center
- Chester, IL
- NPI 1629469002
-
- Rural Health Clinic/Center
- Carbondale, IL
- NPI 1154510808
-
- Rural Health Clinic/Center
- West Frankfort, IL
- NPI 1215204938
-
- Rural Health Clinic/Center
- Herrin, IL
- NPI 1477820900
-
- Rural Health Clinic/Center
- Anna, IL
- NPI 1538689062
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Murphysboro, IL
- NPI 1356435135
Hospital
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 PerryMemorial HospitalSouthern Illinois Medical Services NFPLogan Primary Care Service Corp.Southeast Missouri Hospital Physicians LLC
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
- Mercy Hospital Perry
- St Joseph Memorial Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.