MACKIE A SNEBOLD DO
NPI 1063578854
Family Medicine in Johnsburg, IL

Active since December 28, 2006
3920 N JOHNSBURG RD, JOHNSBURG, IL 60051(815) 344-0088(815) 363-3477 Get Directions Write a Review

NPPES record last updated: February 12, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mackie A Snebold Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MACKIE A SNEBOLD DO (NPI 1063578854) is an individual family medicine provider in Johnsburg, Illinois, licensed in Illinois (036067812) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1063578854
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMACKIE A SNEBOLDCredential: DO
Location Address3920 N JOHNSBURG RDJohnsburg, IL 60051-6320
Mailing Address3920 N Johnsburg RdJohnsburg, IL 60051-6320 · (815) 344-0088 · Fax (815) 363-3477
Fax(815) 363-3477
Sole ProprietorYes
Enumeration DateDecember 28, 2006
Last NPPES UpdateFebruary 12, 2020
NPI 1063578854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036067812
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3920 N JOHNSBURG RD, Johnsburg, IL 60051

Other Names 1

Other Name (5)Mackie A Kokkelenburg

Other Identifiers 2

Medicaid0360678124IL
Other05615148IL · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
96%164 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%213 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%197 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
3920 N JOHNSBURG RD
JOHNSBURG, IL 60051

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mackie Snebold's NPI number?

The NPI number for Mackie Snebold is 1063578854. It was assigned to this individual provider in the NPPES registry on December 28, 2006. The provider is also known as Mackie A Kokkelenburg.

Where is Mackie Snebold located?

Mackie Snebold practices at 3920 N Johnsburg Rd, Johnsburg, IL 60051. The listed phone number is (815) 344-0088.

What is Mackie Snebold's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mackie Snebold was last updated on February 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.