Individual provider Active NPI

Ashlie Nichole Snowden

  • Nurse Practitioner
  • Morrison, IL
National Provider Identifier
1598330367
Registry record updated Dec 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.023363 Issued in IL
Practice address
303 N Jackson St
Morrison, IL 61270-3042
Phone
(815) 772-4003
NPI assigned
May 25, 2021
Last updated
Dec 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2021

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 A163333 IA
Nurse Practitioner 363L00000X 209.023363 IL Primary

Addresses

Primary practice location

303 N Jackson St
Morrison, IL 61270-3042

Mailing address

303 N Jackson St
Morrison, IL 61270-3042
Phone (815) 772-4003

Other identifiers 2

IdentifierTypeStateIssuer
209.023363OtherILFAMILY NURSE PRACTITIONER (FNP-C)
A163333OtherIAFAMILY NURSE PRACTITIONER (FNP-C)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20230221001355 IL Practitioner - Nurse Practitioner 3870982960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

303 N Jackson St
Morrison, IL 61270-3042
Phone (815) 772-4003

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A163333IAMDNurse Practitioner
209.023363ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Morrison Community Hospital District Current Accepting new patients
CGH Medical Center Past Accepting new patients

Locations

303 N Jackson St
Morrison, IL 61270
Phone (815) 772-4003

Interoperability endpoints

  • Direct secure messaging: ashliesnowden@mchospital.medalliesdirect.net

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

Hospital & facility affiliations 3

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": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639785600000",
    "number": "1598330367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N JACKSON ST",
            "city": "MORRISON",
            "state": "IL",
            "postal_code": "612703042",
            "telephone_number": "815-772-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N JACKSON ST",
            "city": "MORRISON",
            "state": "IL",
            "postal_code": "612703042",
            "telephone_number": "815-772-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOWDEN",
        "first_name": "ASHLIE",
        "middle_name": "NICHOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-12-18",
        "certification_date": "2021-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A163333",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.023363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY NURSE PRACTITIONER (FNP-C)",
            "identifier": "209.023363",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY NURSE PRACTITIONER (FNP-C)",
            "identifier": "A163333",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrison, IL

Sources for this page

Verify at the official NPI Registry.