Individual provider Active NPI

Michaela Jeanne Snyder, FNP-BC

  • Family Nurse Practitioner
  • Glens Falls, NY
National Provider Identifier
1922841626
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F354230-01 Issued in NY
Practice address
3 Irongate Ctr Ste 2
Glens Falls, NY 12801-3473
Phone
(518) 793-4409
Fax
(572) 020-5182
NPI assigned
Jun 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F354230-01 NY Primary

Addresses

Primary practice location

3 Irongate Ctr Ste 2
Glens Falls, NY 12801-3473

Mailing address

4 Tanglewood Dr
South Glens Falls, NY 12803-5430
Phone (518) 791-1946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240716002736 NY Practitioner - Nurse Practitioner 4385189190 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F354230-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Irongate Family Practice Associates PLLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

3 Irongate Ctr
Glens Falls, NY 12801
Phone (518) 793-4409

3 Irongate Ctr
#2
Glens Falls, NY 12801
Phone 5187934409 ext. 467

Interoperability endpoints

  • Direct secure messaging: michaelas@irongatefamilypractice.medentdirect.com

Organizations & group practices 1

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": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1922841626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 TANGLEWOOD DR",
            "city": "SOUTH GLENS FALLS",
            "state": "NY",
            "postal_code": "128035430",
            "telephone_number": "518-791-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 IRONGATE CTR STE 2",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013473",
            "telephone_number": "518-793-4409",
            "fax_number": "572-020-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "MICHAELA",
        "middle_name": "JEANNE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F354230-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

Verify at the official NPI Registry.