Individual provider Active NPI

Ellen Margaret Snyder, NP

  • Nurse Practitioner
  • Albemarle, NC
National Provider Identifier
1386036390
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5007282 Issued in NC
Practice address
105 Yadkin St
Ste 301
Albemarle, NC 28001-3449
Phone
(980) 323-5360
NPI assigned
Feb 27, 2015
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5007282 NC Primary
Gerontology Nurse Practitioner 363LG0600X 5007282 NC

Addresses

Primary practice location

105 Yadkin St
Ste 301
Albemarle, NC 28001-3449

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

243 N Highway 49
Richfield, NC 28137-5731
Phone (980) 323-5520

Other practice location 2

835 Albemarle Rd
Troy, NC 27371-8682
Phone (910) 572-2309

Other practice location 3

269 S Main St
Norwood, NC 28128-6435
Phone (980) 323-5470

Other practice location 4

112 E 1st St
Oakboro, NC 28129-9715
Phone (980) 323-5240

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address esnyder136780@CarolinasHealthcareSystem.direct-ci.com Atrium Health
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20160411000169 NC Practitioner - Nurse Practitioner 4981902806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians
Broad River RehabilitationGroup PAC ID 3375801350, 210 clinicians

Practice addresses (Care Compare)

105 Yadkin St
Suite 301
Albemarle, NC 28001-3456
Phone (980) 323-5360

9120 Willow Ridge Rd
Charlotte, NC 28210-8313
Phone 82877452220027

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5007282NCMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Mar 20, 2016 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network, Inc. CurrentSince Mar 20, 2016 Accepting new patients
Carolinas Physicians Network Inc. Past Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

105 Yadkin St
Ste 301
Albemarle, NC 28001
Phone (704) 982-9144

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070

269 S Main St
Norwood, NC 28128
Phone (704) 474-3171

112 E 1st St
Oakboro, NC 28129
Phone (704) 485-3319

243 N Highway 49
Richfield, NC 28137
Phone (704) 463-5003

835 Albemarle Rd
Troy, NC 27371
Phone (910) 572-2309

Interoperability endpoints

  • Direct secure messaging: esnyder136780@carolinashealthcaresystem.direct-ci.com

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

Hospital & facility affiliations 11

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": "1424995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1386036390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 YADKIN ST",
            "address_2": "STE 301",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013449",
            "telephone_number": "980-323-5360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "243 N Highway 49",
            "address_purpose": "LOCATION",
            "city": "Richfield",
            "state": "NC",
            "postal_code": "281375731",
            "country_code": "US",
            "telephone_number": "980-323-5520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "835 Albemarle Rd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NC",
            "postal_code": "273718682",
            "country_code": "US",
            "telephone_number": "910-572-2309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "269 S Main St",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "NC",
            "postal_code": "281286435",
            "country_code": "US",
            "telephone_number": "980-323-5470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Oakboro",
            "state": "NC",
            "postal_code": "281299715",
            "country_code": "US",
            "telephone_number": "980-323-5240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "ELLEN",
        "middle_name": "MARGARET",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-27",
        "last_updated": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5007282",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5007282",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "esnyder136780@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "105 Yadkin St",
            "address_2": "Ste 301",
            "city": "Albemarle",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280013449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albemarle, NC

Sources for this page

Verify at the official NPI Registry.