Individual provider Active NPI

Chelline Mathis Snyder, PA-C

  • Physician Assistant
  • Boynton Beach, FL
National Provider Identifier
1205978582
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9101809 Issued in FL
Practice address
1054 Gateway Blvd
Suite 110
Boynton Beach, FL 33426-8301
Phone
(561) 738-4770
Fax
(561) 738-9727
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9101809 FL Primary

Addresses

Primary practice location

1054 Gateway Blvd
Suite 110
Boynton Beach, FL 33426-8301

Mailing address

7740 Boynton Beach Blvd
Boynton Beach, FL 33437-3804
Phone (561) 752-8000

Other identifiers 1

IdentifierTypeStateIssuer
U0385WOtherFLMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20040408001637 FL Practitioner - Physician Assistant 9931193331 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Mobile Dermatology LLCGroup PAC ID 0840182150, 4 clinicians

Practice addresses (Care Compare)

10120 City Ctr Blvd
Pembroke Pines, FL 33025-4673
Phone (561) 738-4770

1019 S State Rd
Suite 7
Plantation, FL 33317-4524
Phone (561) 738-4770

1031 Seminole Dr
Fort Lauderdale, FL 33304-3243
Phone (954) 524-8500

1050 SW 24TH Ave
Deerfield Beach, FL 33442-7601
Phone (954) 360-7667

1054 Gateway Blvd
Boynton Beach, FL 33426-8309
Phone (561) 738-4770

1080 NW 15TH St
Boca Raton, FL 33486-1331
Phone (561) 750-7555

1115 SE 6TH Ter
Villa Rio Vista
Fort Lauderdale, FL 33316-1224
Phone (954) 763-1044

113 NE 7TH St
Pompano Beach, FL 33060-6133
Phone (954) 533-7095

1189 W River Dr
Margate, FL 33063-3578
Phone (954) 972-0200

1216 S Military TRL
Deerfield Beach, FL 33442-7605
Phone (954) 481-2304

1222 N 16TH Ave
Hollywood, FL 33020-3741
Phone (954) 922-2643

150 Stirling Rd
Dania, FL 33004-3658
Phone (561) 738-4770

1500 SW Capri St
Sandhill Cove
Palm City, FL 34990-4518
Phone (772) 220-1090

1639 NE 26TH St
I H Independence Hall
Wilton Manors, FL 33305-1410
Phone (954) 563-6232

1650 NE 62ND St
Fort Lauderdale, FL 33334-5140
Phone (954) 772-6551

1776 NE 26TH St
Williamsburg Landing
Wilton Manors, FL 33305-1429
Phone (954) 566-1775

1835 Wilson St
Hollywood, FL 33020-2725
Phone (954) 921-4059

19494 Hampton Dr
Boca Raton, FL 33434-2844
Phone (561) 738-4770

21865 Ponderosa Dr
Boca Raton, FL 33428-6215
Phone (561) 288-5985

22501 Boca Rio Rd
Boca Raton, FL 33433-4700
Phone (561) 680-3600

22601 Camino del Mar
Boca Raton, FL 33433-6516
Phone (888) 560-2132

2304 NW 52ND CT
Fort Lauderdale, FL 33309-2681
Phone (561) 738-4770

2403 W Hillsboro Blvd
Deerfield BCH, FL 33442-8507
Phone (954) 426-3800

2480 N Park Rd
5 Star Premier Residence Hollywood
Hollywood, FL 33021-3744
Phone (954) 964-2474

2580 Pine Island Rd
Hollywood, FL 33024-8582
Phone (954) 607-1346

Hospital & facility affiliations

  • Compassionate Caring Home Care, Inc Home health agency, Hallandale, FL, CCN 109324

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Care Physicians Past Accepting new patients

Organizations & group practices 3

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 1

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1205978582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7740 BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373804",
            "telephone_number": "561-752-8000",
            "fax_number": "561-752-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 GATEWAY BLVD",
            "address_2": "SUITE 110",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268301",
            "telephone_number": "561-738-4770",
            "fax_number": "561-738-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "CHELLINE",
        "middle_name": "MATHIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "U0385W",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.