Individual provider Active NPI

Lauren Snyder

  • Nurse Practitioner
  • Hurley, WI
National Provider Identifier
1548066699
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704287608 Issued in MI
Practice address
300 Villa Dr
Hurley, WI 54534-1523
Phone
(715) 561-3200
NPI assigned
Feb 20, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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 167660-30 WI
Nurse Practitioner 363L00000X 4704287608 MI Primary

Addresses

Primary practice location

300 Villa Dr
Hurley, WI 54534-1523

Mailing address

5935W US Highway 2
Hurley, WI 54534-9089
Phone (715) 360-7063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20250812002512 WI Practitioner - Nurse Practitioner 9234650805 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
167660-30WIMDRegistered Nurse
4704287608MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Great Health Medical Wi SC CurrentSince Jul 10, 2025 Accepting new patients
Villa Maria Health and Rehabilitation Center, LLC PastSince Jan 1, 2015 Accepting new patients

Locations

407 Willoughby Ave
Brooklyn, NY 11205
Phone (212) 201-1252

1905 W Hart Rd
Beloit, WI 53511
Phone (608) 365-2554

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Villa Maria Health and Rehabilitation CenterHurley, WI, CCN 525540 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2015
Jan 1, 2015

Owned or controlled facilities with NPI records 1

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1548066699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5935W US HIGHWAY 2",
            "city": "HURLEY",
            "state": "WI",
            "postal_code": "545349089",
            "telephone_number": "715-360-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 VILLA DR",
            "city": "HURLEY",
            "state": "WI",
            "postal_code": "545341523",
            "telephone_number": "715-561-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "167660-30",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704287608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurley, WI

Sources for this page

Verify at the official NPI Registry.