Individual provider Active NPI

Jeanne Marie Snyder, MD

  • Family Medicine Physician
  • Ketchikan, AK
National Provider Identifier
1871547869
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AK3831 Issued in AK
Practice address
1621 Tongass Ave
Suite 304
Ketchikan, AK 99901-6013
Phone
(907) 225-6699
Fax
(907) 247-1199
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 AK3831 AK Primary

Addresses

Primary practice location

1621 Tongass Ave
Suite 304
Ketchikan, AK 99901-6013

Mailing address

1621 Tongass Ave
Suite 304
Ketchikan, AK 99901-6013
Phone (907) 225-6699

Other identifiers 1

IdentifierTypeStateIssuer
MD0069MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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

Enrollment IDStateProvider typePAC IDDetails
I20060524000013 AK Practitioner - General PracticePractitioner - Family PracticePractitioner - Other (Physician) 2163457516 Practice locations: Ketchikan, AK

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Nebraska College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21 Jefferson Way
Suite 203
Ketchikan, AK 99901-5951
Phone (907) 225-6699

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.12 of 100Reported as group
Quality
81.91
Promoting interoperability
100
Improvement activities
40
Cost
40.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AK3831AKMDFamily Medicine Physician

Hospital & facility affiliations 1

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1871547869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 TONGASS AVE",
            "address_2": "SUITE 304",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999016013",
            "telephone_number": "907-225-6699",
            "fax_number": "907-247-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 TONGASS AVE",
            "address_2": "SUITE 304",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999016013",
            "telephone_number": "907-225-6699",
            "fax_number": "907-247-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "JEANNE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "AK3831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD0069",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ketchikan, AK

Sources for this page

Verify at the official NPI Registry.