Individual provider Active NPI

Shelley L Snodgrass, MD

  • Internal Medicine Physician
  • Fishersville, VA
National Provider Identifier
1154345932
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101239974 Issued in VA
Practice address
53 S Medical Park Dr
Fishersville, VA 22939-2333
Phone
(540) 932-5687
Fax
(540) 932-5688
NPI assigned
Jul 26, 2006
Last updated
Jun 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101239974 VA Primary

Addresses

Primary practice location

53 S Medical Park Dr
Fishersville, VA 22939-2333

Mailing address

PO Box 388
Fishersville, VA 22939-0388
Phone (540) 932-5168

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shelley.snodgrass.1@14718.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20060921000205 VA Practitioner - Internal Medicine 6507861770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Maryland School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Augusta Medical GroupGroup PAC ID 3678632544, 409 clinicians

Practice addresses (Care Compare)

53 S Medical Park Dr
Fishersville, VA 22939-2333
Phone (540) 932-5667

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Medical Group CurrentSince Oct 1, 2008 Accepting new patients
Augusta Medical Group CurrentSince Oct 1, 2008 Accepting new patients
Mississippi Family Medicine P C PastSince Feb 1, 2016 Accepting new patients
Wayne General Hospital Past Accepting new patients

Locations

1005 Heathercroft Cir
Ste 400
Crozet, VA 22932
Phone (434) 823-7896

53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687

57 N Medical Park Dr
Ste 101
Fishersville, VA 22939
Phone (540) 221-7170

70 Medical Center Cir
Ste 108
Fishersville, VA 22939
Phone (540) 221-7170

78 Medical Center Dr
Fishersville, VA 22939
Phone (540) 245-7216

201 Lew Dewitt Blvd
#B
Waynesboro, VA 22980
Phone (540) 245-7950

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: shelley.snodgrass.1@14718.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Augusta Health Maury River Family PracticeGlasgow, VA, CCN 498934 Rural health clinic Corporate Director
W-2 Managing Employee
Sep 25, 2006
Sep 25, 2006
Augusta Health Primary Care LexingtonLexington, VA, CCN 498935 Rural health clinic Corporate Director
W-2 Managing Employee
Sep 25, 2006
Sep 25, 2006

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1154345932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229390388",
            "telephone_number": "540-932-5168",
            "fax_number": "540-932-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 S MEDICAL PARK DR",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392333",
            "telephone_number": "540-932-5687",
            "fax_number": "540-932-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNODGRASS",
        "first_name": "SHELLEY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101239974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shelley.snodgrass.1@14718.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "address_1": "53 S Medical Park Dr",
            "city": "Fishersville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229392333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fishersville, VA

Sources for this page

Verify at the official NPI Registry.