Benjamin Snellgrove, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP144290 Issued in TX

Practice address

1201 N Muldoon Rd
Anchorage, AK 99504-6104

Phone

(888) 353-7574

NPI assigned

Dec 9, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bsnellgrove28703@direct.utmsa.com
• Direct secure messaging: ben.snellgrove.p1@direct.sokya.nextgenshare.com

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.

• Achieve Medical Alaska LLC

  • Medical Specialty Clinic/Center
  • Wasilla, AK
  • NPI 1922648690
  Medicare reassignment NPD
• Sokyahealth Medical Group PC

  • Mental Health Counselor
  • Portland, OR
  • NPI 1447842232

  AK, Psychiatric/Mental Health

  Medicare reassignment NPD

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704067200000",
    "number": "1023655099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N MULDOON RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995046104",
            "telephone_number": "888-353-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N MULDOON RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995046104",
            "telephone_number": "888-353-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNELLGROVE",
        "first_name": "BENJAMIN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-09",
        "last_updated": "2024-01-01",
        "certification_date": "2024-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP144290",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "171269",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407235701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesscia Denae Smothermon
• Carolyn Royce Snapp, PA-C
• Sarah Elizabeth Snapp, RD
• Todd Alan Sneesby, DDS, MS
• Jacob Snell, MA
• Robin Snipes
• Sandy Snodgrass, MS
• Snow Blossom Acupuncture
• Snow Circle 2 Alh LLC
• Snow Circle Assisted Living Home,LLC

• Psychiatric/Mental Health Nurse Practitioner in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Psychiatric/Mental Health Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.