Jennifer Brae Snavely, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0S014357 Issued in PA

Practice address

313 Logan Ave
State College, PA 16801-4623

Phone

(814) 206-9944

Fax

(224) 235-4652

NPI assigned

Jun 22, 2007

Last updated

Nov 12, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

USA Vein Clinics of Pittsburgh LLCGroup PAC ID 9931461118, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• USA Vein Clinics of Pittsburgh LLC

  • Vascular Surgery Physician
  • Pittsburgh, PA
  • NPI 1073012142
  Medicare reassignment Care Compare group
• Broad Street Professional Medical Services LLC

  • Vascular Surgery Physician
  • Philadelphia, PA
  • NPI 1720630650
  Medicare reassignment NPD
• USA Vein Clinics of Philadelphia LLC

  • Vascular Surgery Physician
  • Philadelphia, PA
  • NPI 1346521267
  Medicare reassignment NPD
• Broad Street Medical LLC

  • Vascular Surgery Physician
  • Philadelphia, PA
  • NPI 1124670922
  NPD (past)
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)
• USA Vein Clinics of Cleveland LLC

  • Vascular Surgery Physician
  • Fairlawn, OH
  • NPI 1992204077
  NPD (past)

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1760688204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600650791",
            "telephone_number": "847-593-8460",
            "fax_number": "224-235-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 LOGAN AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168014623",
            "telephone_number": "814-206-9944",
            "fax_number": "224-235-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNAVELY",
        "first_name": "JENNIFER",
        "middle_name": "BRAE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT011584",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "0S014357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISSINGER",
            "identifier": "130267",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "SN2128627",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102398784-0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "413602",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison L Smith
• Pamela Lynnette Smith, LMFT
• Sarah Emily Smith, MD
• Steven M Smith, PA-C
• William Joseph Smith IV
• Adam Snyder
• Madeline Pack Snyder, MD
• Carla Soares-Goulet, M.SC.
• Katherine Sodeinde, L.M.T.
• Guncha Sohi

• Family Medicine Physician in State College, PA
• Providers in State College, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.