Active NPI
Michelle Lee Snyder, DO
- Family Medicine Physician
- Vincennes, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 02001984A
- Practice address
- 328 N 2ND St Ste 102
Vincennes, IN 47591-1353 - Phone
- (812) 910-0544
- Fax
- (812) 494-2600
- NPI assigned
- Jun 23, 2005
- Reactivated
- Apr 3, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02001984A | IN | Primary |
Addresses
Primary practice location
328 N 2ND St Ste 102
Vincennes, IN 47591-1353
Mailing address
328 N 2ND St
Ste 102
Vincennes, IN 47591-1353
Phone (727) 531-1050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02001984A | Other | IN | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
520 S 7TH St
Vincennes, IN 47591-1038
Phone (812) 885-3810
Hospital & facility affiliations
- Good Samaritan Hospital
- Deaconess Hospital Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michelle L Snyder, DO LLC | Family Medicine | Current | Accepting new patients |
| Midwest Emergency Medicine, Inc. | Current | Accepting new patients | |
| Midwest Medical Management, P.C. | Past | Accepting new patients |
Locations
1020 W Vine St
Princeton, IN 47670
Phone (812) 385-5238
1808 Sherman Dr
Princeton, IN 47670
Phone (812) 385-3401
520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280
328 N 2nd St
Ste 102
Vincennes, IN 47591
Phone (812) 291-5993
Interoperability endpoints
- https://api.platform.athenahealth.com/12933/brand/1/csg/1/fhir/r4
- michelle.snyder.1@12933.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Vincennes, IN
- NPI 1427421734
-
- Emergency Medical Services (Emergency Medicine) Physician
- Vincennes, IN
- NPI 1801383278
-
- Critical Access Hospital
- Princeton, IN
- NPI 1558346007
-
- Emergency Medicine Physician
- Terre Haute, IN
- NPI 1417996430
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Vincennes, IN
- NPI 1073153474
Hospital
-
- General Acute Care Hospital
- Vincennes, IN
- NPI 1225032881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550966400000",
"number": "1043216161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 N 2ND ST",
"address_2": "STE 102",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475911353",
"telephone_number": "727-531-1050",
"fax_number": "727-531-1208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "328 N 2ND ST STE 102",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475911353",
"telephone_number": "812-910-0544",
"fax_number": "812-494-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "MICHELLE",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-23",
"last_updated": "2019-02-24",
"deactivation_date": "2006-03-16",
"reactivation_date": "2006-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "02001984A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "02001984A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vincennes, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2019; 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.