Individual provider Active NPI

Mark William Snavely, PA-C

  • Physician Assistant
  • Melbourne, FL
National Provider Identifier
1942678958
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9108998 Issued in FL
Practice address
8059 Spyglass Hill Rd Ste 103
Melbourne, FL 32940-8566
Phone
(321) 636-7780
Fax
(321) 636-1152
NPI assigned
Sep 8, 2015
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9108998 FL Primary
Surgical Physician Assistant 363AS0400X PA 9108998 FL

Addresses

Primary practice location

8059 Spyglass Hill Rd Ste 103
Melbourne, FL 32940-8566

Mailing address

1286 Florida Ave S Ste 1
Rockledge, FL 32955-2400
Phone (321) 301-4747

Other practice location 1

1341 Medical Park Dr
Suite 201
Melbourne, FL 32901-3235
Phone (321) 768-9914

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
I20151118001052 FL Practitioner - Physician Assistant 0749580066 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Roberts and Bryan PAGroup PAC ID 3678563251, 14 clinicians

Practice addresses (Care Compare)

1286 Florida Ave S
Rockledge, FL 32955-2448

1286 S Florida Ave
Rockledge, FL 32955-2479
Phone (321) 636-7780

4500 S Hopkins Ave
Titusville, FL 32780-6622
Phone (321) 636-7780

8059 Spyglass Hill Rd
Suite 103
Viera, FL 32940-8566
Phone (321) 636-7780

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA 9108998FLMDSurgical Physician Assistant

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: marksnavely@brevardskin.allscriptsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1942678958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1286 FLORIDA AVE S STE 1",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552400",
            "telephone_number": "321-301-4747",
            "fax_number": "321-636-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8059 SPYGLASS HILL RD STE 103",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408566",
            "telephone_number": "321-636-7780",
            "fax_number": "321-636-1152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1341 Medical Park Dr",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013235",
            "country_code": "US",
            "telephone_number": "321-768-9914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNAVELY",
        "first_name": "MARK",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-08",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108998",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA 9108998",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.