BREANNA SNYDER
NPI 1487004867
Specialist in Lake Havasu City, AZ

Active since June 16, 2016Accepts Medicare Assignment
1515 LAKE HAVASU AVE N, LAKE HAVASU CITY, AZ 86404(928) 854-5439(928) 854-5440 Get Directions Write a Review

NPPES record last updated: June 16, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Breanna Snyder NPPES

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

BREANNA SNYDER (NPI 1487004867) is an individual specialist in Lake Havasu City, Arizona and active in the NPI registry since June 2016. She is a graduate of Other (2015).

NPPES Registry Identity

NPI1487004867
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameBREANNA SNYDER
Location Address1515 LAKE HAVASU AVE NLake Havasu City, AZ 86404-1177
Mailing Address1515 Lake Havasu Ave NLake Havasu City, AZ 86404-1177 · (928) 854-5439 · Fax (928) 854-5440
Fax(928) 854-5440
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 16, 2016
✔ NPI 1487004867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1515 LAKE HAVASU AVE N, Lake Havasu City, AZ 86404

Other Identifiers 1

Other6378AZ · Arizona State Board Of Occupational Therapy

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Breanna Snyder is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365900701
PECOS Enrollment IDI20260817002179

Medicare Billing Reassignment

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

Multi-Specialty
9000 E SAN VICTOR DR
Scottsdale, AZ 85258
  • Reassigned Medicare billing, Arizona enrollment
  • 106 clinicians in this Medicare group

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 4

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

Specialist/Technologist (Speech-Language Assistant)
1515 LAKE HAVASU AVE N, #100
LAKE HAVASU CITY, AZ 86404
Occupational Therapy Assistant
1515 LAKE HAVASU AVE N
LAKE HAVASU CITY, AZ 86404
Specialist/Technologist (Speech-Language Assistant)
1515 LAKE HAVASU AVE N
LAKE HAVASU CITY, AZ 86404
Occupational Therapy Assistant (Feeding, Eating & Swallowing)
1515 LAKE HAVASU AVE N
LAKE HAVASU CITY, AZ 86404

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 Breanna Snyder's NPI number?

The NPI number for Breanna Snyder is 1487004867. It was assigned to this individual provider in the NPPES registry on June 16, 2016.

Where is Breanna Snyder located?

Breanna Snyder practices at 1515 Lake Havasu Ave N, Lake Havasu City, AZ 86404. The listed phone number is (928) 854-5439.

What is Breanna Snyder's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Breanna Snyder enrolled in Medicare?

Yes. Breanna Snyder is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Breanna Snyder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Breanna Snyder reassigns Medicare benefits to Empowerme Rehabilitation, LLC (Scottsdale, AZ). 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 Breanna Snyder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Breanna Snyder was last updated on June 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.