STACY L SNYDER MD
NPI 1477896348
Pediatrics - Pediatric Hematology-Oncology in South Bend, IN

Q: What is Stacy Snyder's NPI number?

The NPI number for Stacy Snyder is 1477896348. It was assigned to this individual provider in the NPPES registry on March 29, 2013.

Q: What is Stacy Snyder's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Snyder was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 29, 2013PECOS Enrolled

615 N MICHIGAN ST 4TH FL, SOUTH BEND, IN 46601(574) 647-6892 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 1, 2023, Apr 5, 2021, Jul 31, 2019 and 1 more (4 updates tracked since 2016).

On this page

About Stacy L Snyder Md NPPES

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

STACY L SNYDER MD (NPI 1477896348) is an individual pediatric hematology-oncology provider in South Bend, Indiana, licensed in Indiana (01082192A) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477896348

Entity TypeIndividualFemale

Primary Taxonomy2080P0207X

Provider Legal NameSTACY L SNYDERCredential: MD

Location Address615 N MICHIGAN ST 4TH FLSouth Bend, IN 46601-1033

Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380

Phone(574) 647-6892

Sole ProprietorNo

Enumeration DateMarch 29, 2013

Last NPPES UpdateMay 1, 20234 updates tracked since enumeration

NPPES CertifiedMay 1, 2023

✔ NPI 1477896348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

License✔ Licensed in IN · 01082192A

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

615 N MICHIGAN ST 4TH FL, South Bend, IN 46601

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Other Identifiers 1

Medicaid300026335IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy L Snyder Md 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 3

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

BRIANA LONG

Nurse Practitioner (Family)

615 N MICHIGAN ST 4TH FL
SOUTH BEND, IN 46601

St. Joseph County (574) 647-6892

ELAINE M. FAN MD

Pediatrics (Pediatric Hematology-Oncology)

615 N MICHIGAN ST 4TH FL
SOUTH BEND, IN 46601

St. Joseph County (574) 647-6892

BEACON MEDICAL GROUP, INC.

Pediatrics (Pediatric Hematology-Oncology)

615 N MICHIGAN ST 4TH FL
SOUTH BEND, IN 46601

St. Joseph County (574) 647-6892

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 Stacy Snyder's NPI number?

The NPI number for Stacy Snyder is 1477896348. It was assigned to this individual provider in the NPPES registry on March 29, 2013.

Where is Stacy Snyder located?

Stacy Snyder practices at 615 N Michigan St 4th Fl, South Bend, IN 46601. The listed phone number is (574) 647-6892.

What is Stacy Snyder's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Stacy Snyder enrolled in Medicare?

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

What insurance does Stacy Snyder accept?

Health plans from CareSource list Stacy Snyder as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacy Snyder was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.