Active NPI
Lauren Snyder
- Nurse Practitioner
- Hurley, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704287608
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250812002512 | WI | Practitioner - Nurse Practitioner | 9234650805 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 167660-30 | WI | MD | Registered Nurse |
| 4704287608 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Health Medical Wi SC | Current | Accepting new patients | |
| Villa Maria Health and Rehabilitation Center, LLC | Past | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Villa Maria Health and Rehabilitation Center | 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.
-
- Skilled Nursing Facility
- Hurley, WI
- NPI 1932101136
Adp of the SNF, Operational/Managerial Control
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.
-
- Skilled Nursing Facility
- Hurley, WI
- NPI 1932101136
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.