Individual provider Active NPI

Ashley Snyder, PA-C

  • Physician Assistant
  • Bradenton, FL
National Provider Identifier
1801346358
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9109815 Issued in FL
Practice address
4805 26TH St W
Bradenton, FL 34207-1706
Phone
(941) 753-7843
NPI assigned
Oct 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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 PA9109815 FL Primary

Addresses

Primary practice location

4805 26TH St W
Bradenton, FL 34207-1706

Mailing address

700 8TH Ave W Ste 101
Palmetto, FL 34221-4737
Phone (941) 776-4008

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
I20190117000758 FL Practitioner - Physician Assistant 4688910367 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9109815FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Florida, LLC CurrentSince Nov 1, 2022 Accepting new patients
Optumcare Florida LLC Current Accepting new patients
MCR Health, Inc. Physician Assistant CurrentSince Aug 14, 2023 Accepting new patients
MCR Health, Inc. CurrentSince Aug 14, 2023 Accepting new patients
MCR Health, Inc. Past Accepting new patients

Locations

1148 E Gibson St
Arcadia, FL 34266
Phone (863) 491-5774

122 N Brevard Ave
Arcadia, FL 34266
Phone (863) 491-7585

1148 E Gibson St
Bldg C
Arcadia, FL 34266
Phone (863) 494-6222

4805 26th St W
Bradenton, FL 34207
Phone (941) 753-7843

919 53rd Ave E
Bradenton, FL 34203
Phone (941) 751-8100

1312 Manatee Ave E
Bradenton, FL 34208
Phone (941) 708-8700

1989 W Lumsden Rd
Brandon, FL 33511
Phone (813) 653-3111

579 S Indiana Ave
Ste A
Englewood, FL 34223
Phone (941) 460-1341

1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895

5600 Bayshore Rd
Palmetto, FL 34221
Phone (941) 721-2020

404 7th St W
Palmetto, FL 34221
Phone (941) 729-3856

700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

5130 Sunforest Dr
Ste 300
Tampa, FL 33634
Phone (813) 302-5835

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1475884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1801346358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 8TH AVE W STE 101",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342214737",
            "telephone_number": "941-776-4008",
            "fax_number": "941-845-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 26TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071706",
            "telephone_number": "941-753-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "ASHLEY",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-08",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.