1. Home
  2. Directory
  3. Indiana
  4. South Bend
  5. Pediatrics
  6. NPI Profile

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

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: November 01, 2026.

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

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
Open in Google Maps ↗

Other Identifiers 1

Medicaid300026335IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Stacy Snyder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Beacon Medical Group, Inc.
Same address
Pediatric Critical Care Medicine
615 N MICHIGAN ST 5TH FL
South Bend, IN 46601
  • Reassigned Medicare billing, Indiana enrollment
  • 734 clinicians in this Medicare group
NPI 1467408237 (574) 647-7275

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Stacy Snyder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Snyder reassigns Medicare benefits to Beacon Medical Group, Inc. (South Bend, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacy Snyder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacy Snyder accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and 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.