Individual provider Active NPI

Brandon Snickles, FNP-C

  • Family Medicine Physician
  • Worthington, PA
National Provider Identifier
1740960160
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
SP027845 Issued in PA
Practice address
1482 Butler Rd
Worthington, PA 16262-3914
Phone
(724) 297-3424
NPI assigned
Jul 20, 2023
Last updated
Jul 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X SP027845 PA Primary

Addresses

Primary practice location

1482 Butler Rd
Worthington, PA 16262-3914

Mailing address

3035 Warren Rd
Indiana, PA 15701-9747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230823001919 PA Practitioner - Nurse Practitioner 2264895333 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

Practice addresses (Care Compare)

841 Hospital Rd
Suite 2300
Indiana, PA 15701-3699
Phone (888) 452-4762

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Family Medicine Current Accepting new patients
Allegheny Clinic Family Medicine CurrentSince Jul 31, 2023 Accepting new patients
Allegheny Clinic CurrentSince Jul 31, 2023 Accepting new patients
Indiana Healthcare Physician Services, Inc CurrentSince Nov 1, 2023 Accepting new patients
Indiana Healthcare Physician Services Inc Family Medicine CurrentSince Nov 1, 2023 Accepting new patients

Locations

640 Kolter Dr
Indiana, PA 15701
Phone (724) 357-7196

841 Hospital Rd
Ste 2300
Indiana, PA 15701
Phone (724) 349-7820

879 Hospital Rd
Indiana, PA 15701
Phone (724) 349-3031

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

4210 Crawford Ave
Northern Cambria, PA 15714
Phone (724) 465-2676

720 W Mahoning St
Ste 300
Punxsutawney, PA 15767
Phone (724) 357-8087

1482 Butler Rd
Worthington, PA 16262
Phone (724) 297-3424

Organizations & group practices 5

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 5

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": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1740960160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 WARREN RD",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157019747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1482 BUTLER RD",
            "city": "WORTHINGTON",
            "state": "PA",
            "postal_code": "162623914",
            "telephone_number": "724-297-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNICKLES",
        "first_name": "BRANDON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP027845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, PA

Sources for this page

Verify at the official NPI Registry.