NICOLAS SNYDER PAC
NPI 1154621381
Physician Assistant - Medical in Phoenix, AZ

Active since October 21, 2010PECOS Enrolled
2640 W BASELINE RD, PHOENIX, AZ 85041(480) 677-8282(480) 677-8283 Get Directions Write a Review

NPPES record last updated: July 23, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicolas Snyder Pac NPPES

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

NICOLAS SNYDER PAC (NPI 1154621381) is an individual medical provider in Phoenix, Arizona, licensed in Arizona (4749) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154621381
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameNICOLAS SNYDERCredential: PAC
Location Address2640 W BASELINE RDPhoenix, AZ 85041-6492
Mailing Address4600 S Mill AveTempe, AZ 85282-6757 · (480) 305-2888 · Fax (480) 305-2889
Fax(480) 677-8283
Sole ProprietorNo
Enumeration DateOctober 21, 2010
Last NPPES UpdateJuly 23, 2015
NPI 1154621381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in AZ · 4749
2640 W BASELINE RD, Phoenix, AZ 85041

Other Identifiers 1

Medicaid624191AZ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nicolas Snyder Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
2640 W BASELINE RD, SUITE 111
PHOENIX, AZ 85041
Physician Assistant
2640 W BASELINE RD, SUITE 111
PHOENIX, AZ 85041
Clinical Nurse Specialist (Family Health)
2640 W BASELINE RD
PHOENIX, AZ 85041
Family Medicine
2640 W BASELINE RD, STE 111
PHOENIX, AZ 85041
Family Medicine
2640 W BASELINE RD, SUITE 111
PHOENIX, AZ 85041

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 Nicolas Snyder's NPI number?

The NPI number for Nicolas Snyder is 1154621381. It was assigned to this individual provider in the NPPES registry on October 21, 2010.

Where is Nicolas Snyder located?

Nicolas Snyder practices at 2640 W Baseline Rd, Phoenix, AZ 85041. The listed phone number is (480) 677-8282.

What is Nicolas Snyder's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Nicolas Snyder enrolled in Medicare?

Yes. Nicolas Snyder is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicolas Snyder was last updated on July 23, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.