Individual provider Active NPI

Michelle Lee Snyder, DO

  • Family Medicine Physician
  • Vincennes, IN
National Provider Identifier
1043216161
Registry record updated Feb 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02001984A Issued in IN
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

Updated by the provider on Feb 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02001984AOtherINSTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110913000456 IN Practitioner - Family Practice 8527045145 Reassigns benefits to 3 organizations

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
Midwest Emergency Medicine IncGroup PAC ID 1052666575, 16 clinicians

Practice addresses (Care Compare)

520 S 7TH St
Vincennes, IN 47591-1038
Phone (812) 885-3810

Hospital & facility affiliations

  • Good Samaritan Hospital Hospital, Vincennes, IN, CCN 150042
  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle L Snyder, DO LLC Family Medicine CurrentSince Nov 1, 2015 Accepting new patients
Midwest Emergency Medicine, Inc. CurrentSince Apr 1, 2019 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

  • FHIR API: https://api.platform.athenahealth.com/12933/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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

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

Verify at the official NPI Registry.