Individual provider Active NPI

Ashley Nicole Snyder, FNP-C

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1528748043
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
297024 Issued in AZ
Practice address
1425 S Greenfield Rd Ste 101
Mesa, AZ 85206-5505
Phone
(480) 964-5800
NPI assigned
Jul 19, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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 RN195997 AZ
Family Nurse Practitioner 363LF0000X 297024 AZ Primary

Addresses

Primary practice location

1425 S Greenfield Rd Ste 101
Mesa, AZ 85206-5505

Mailing address

1080 E Rosebud Dr
San Tan Valley, AZ 85143-6328
Phone (219) 775-9677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20231002002298 AZ Practitioner - Nurse Practitioner 7113371642 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mesa Family Physicians, PLCGroup PAC ID 1456336320, 8 clinicians
Quantum Healthcare Medical Associates of Arizona PCGroup PAC ID 5597946350, 33 clinicians

Practice addresses (Care Compare)

1425 S Greenfield Rd
Suite 101
Mesa, AZ 85206-5505
Phone (701) 235-9624

6644 E Baywood Ave
Mesa, AZ 85206-1747
Phone (480) 321-2000

Hospital & facility affiliations

  • Banner Gateway Medical Center Hospital, Gilbert, AZ, CCN 030122
  • Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
297024AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mesa Family Physicians, PLC CurrentSince Sep 19, 2023 Accepting new patients
Quantum Healthcare Medical Associates of Arizona, PC CurrentSince Mar 30, 2026 Accepting new patients

Locations

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

1425 S Greenfield Rd
Ste 101
Mesa, AZ 85206
Phone (480) 964-5800

Organizations & group practices 2

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 2

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": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1528748043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 E ROSEBUD DR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851436328",
            "telephone_number": "219-775-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 S GREENFIELD RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852065505",
            "telephone_number": "480-964-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN195997",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "297024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.