Individual provider Active NPI

Alissa Joy Snider, NP-C

  • Family Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1265049910
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2020029501 Issued in MO
Practice address
3525 S National Ave Ste 205a
Springfield, MO 65807-7315
Phone
(417) 269-9714
Fax
(417) 269-9236
NPI assigned
Sep 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2020029501 MO Primary

Addresses

Primary practice location

3525 S National Ave Ste 205a
Springfield, MO 65807-7315

Mailing address

PO Box 7411626
Chicago, IL 60674-5626

Other practice location 1

3800 S National Ave Ste 605
Springfield, MO 65807-5209
Phone (417) 875-3000

Other identifiers 1

IdentifierTypeStateIssuer
420089377MedicaidMO

Other names 1

  • Alissa Joy Miller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20201013001306 MO Practitioner - Nurse Practitioner 7416377403 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lester E Cox Medical CentersGroup PAC ID 8628092897, 243 clinicians

Practice addresses (Care Compare)

3800 S National Ave
600 Trauma and Acute Care Surgery
Springfield, MO 65807-5249
Phone (417) 875-3462

Merit-based Incentive Payment System (MIPS)

Final score
82.25 of 100Reported as group
Quality
64.73
Promoting interoperability
100
Improvement activities
40
Cost
76.1

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020029501MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers CurrentSince Nov 23, 2020 Accepting new patients
Lester E Cox Medical Centers CurrentSince Mar 1, 2026 Accepting new patients
Lester E Cox Medical Centers Past Accepting new patients

Locations

3800 S National Ave
Ste 600
Springfield, MO 65807
Phone (417) 269-1499

3525 S National Ave
Ste 207
Springfield, MO 65807
Phone (417) 269-9220

3525 S National Ave
Ste 205A
Springfield, MO 65807
Phone (417) 269-9714

1001 E Primrose St
Springfield, MO 65807
Phone (417) 875-3434

1000 E Primrose St
Ste 360
Springfield, MO 65807
Phone (417) 269-4037

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.

NPI Registry JSON

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

{
    "created_epoch": "1601164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1265049910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7411626",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606745626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 S NATIONAL AVE STE 205A",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077315",
            "telephone_number": "417-269-9714",
            "fax_number": "417-269-9236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 S National Ave Ste 605",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075209",
            "country_code": "US",
            "telephone_number": "417-875-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNIDER",
        "first_name": "ALISSA",
        "middle_name": "JOY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-27",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020029501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420089377",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISSA",
            "last_name": "MILLER",
            "middle_name": "JOY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.