Individual provider Active NPI

William S Snyder III, FNP

  • Nurse Practitioner
  • Ottumwa, IA
National Provider Identifier
1093065369
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A165759 Issued in IA
Practice address
812 Filmore St
Ottumwa, IA 52501-2130
Phone
(407) 538-9455
NPI assigned
Sep 14, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 165567 IA
Nurse Practitioner 363L00000X A165759 IA Primary

Addresses

Primary practice location

812 Filmore St
Ottumwa, IA 52501-2130

Mailing address

812 Filmore St
Ottumwa, IA 52501-2130
Phone (407) 538-9455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IA2 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
I20160719000263 FL Practitioner - Nurse Practitioner 6204156185 Reassigns benefits to 1 organization
I20211228001982 IA Practitioner - Nurse Practitioner 6204156185 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
165567IAMDRegistered Nurse
A165759IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System/ Sunbelt, Inc. Family CurrentSince Jul 31, 2017 Accepting new patients
Iowa Emergency Physicians LLP Nurse Practitioner CurrentSince Apr 6, 2024 Accepting new patients
Iowa Emergency Physicians LLP Nurse Practitioner CurrentSince Apr 6, 2024 Accepting new patients
Adventist Health System Sunbelt, Inc. Family CurrentSince Jul 31, 2017 Accepting new patients
Optum Care Services Company Nurse Practitioner Past Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

4660 13th St
Saint Cloud, FL 34769
Phone (321) 805-4650

1600 Morgan St
Keokuk, IA 52632
Phone (319) 524-7150

3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1093065369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 FILMORE ST",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525012130",
            "telephone_number": "407-538-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 FILMORE ST",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525012130",
            "telephone_number": "407-538-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "WILLIAM",
        "middle_name": "S",
        "name_suffix": "III",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-14",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "165567",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A165759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottumwa, IA

Sources for this page

Verify at the official NPI Registry.