Individual provider Active NPI

Judith Anne Snell, PA-C

  • Physician Assistant
  • Williamsport, PA
National Provider Identifier
1629069224
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA050723 Issued in PA
Practice address
1205 River Ave FL 2
Williamsport, PA 17701-3724
Phone
(570) 326-4118
Fax
(570) 326-5533
NPI assigned
Nov 2, 2005
Last updated
Mar 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA050723 PA Primary

Addresses

Primary practice location

1205 River Ave FL 2
Williamsport, PA 17701-3724

Mailing address

7 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 837-2123

Other practice location 1

104 E Central Ave
Avis, PA 17721
Phone (570) 753-8620

Other practice location 2

740 High St
Suite 2001
Williamsport, PA 17701-3102
Phone (570) 321-2805

Other practice location 3

740 High St
Suite 2001
Williamsport, PA 17701-3102
Phone (570) 321-2805

Other names 1

  • Judith Anne Nierle Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsnell123163@direct.geisinger.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230118002374 FL Practitioner - Physician Assistant 2668416553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Afc Florida, LLCGroup PAC ID 2769616762, 22 clinicians

Practice addresses (Care Compare)

1394 John Sims Pkwy E
Niceville, FL 32578-2208
Phone (850) 517-1920

4713 Hwy 90
Pace, FL 32571-1403
Phone (850) 304-0694

4850 Mobile Hwy
Suite 100
Pensacola, FL 32506-3228
Phone (850) 777-3668

Merit-based Incentive Payment System (MIPS)

Final score
71.83 of 100Reported as group
Quality
61.85
Improvement activities
40
Cost
76.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central PA Emergency Physicians Past Accepting new patients
Muncee Emergency Physicians, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jsnell123163@direct.geisinger.edu

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

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1629069224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DOCK HILL RD",
            "city": "MIDDLEBURG",
            "state": "PA",
            "postal_code": "178428910",
            "telephone_number": "570-837-2123",
            "fax_number": "570-837-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 RIVER AVE FL 2",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013724",
            "telephone_number": "570-326-4118",
            "fax_number": "570-326-5533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 E Central Ave",
            "address_purpose": "LOCATION",
            "city": "Avis",
            "state": "PA",
            "postal_code": "17721",
            "country_code": "US",
            "telephone_number": "570-753-8620",
            "fax_number": "570-753-5489",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "740 High St",
            "address_2": "Suite 2001",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177013102",
            "country_code": "US",
            "telephone_number": "570-321-2805",
            "fax_number": "570-321-2806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "740 High St",
            "address_2": "Suite 2001",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177013102",
            "country_code": "US",
            "telephone_number": "570-321-2805",
            "fax_number": "570-321-2806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNELL",
        "first_name": "JUDITH",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA050723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsnell123163@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "104 E Central Ave",
            "city": "Avis",
            "state": "PA",
            "country_code": "US",
            "postal_code": "17721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "NIERLE",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Williamsport, PA

Sources for this page

Verify at the official NPI Registry.