KEELY AUBREY PETERSEN-SNIDER PMHNP
NPI 1902092547
Nurse Practitioner - Psychiatric/Mental Health in Medford, OR
About Keely Aubrey Petersen-snider Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEELY AUBREY PETERSEN-SNIDER PMHNP (NPI 1902092547) is an individual psychiatric/mental health provider in Medford, Oregon, licensed in Oregon (201050176NP) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Keely Aubrey Petersen-snider Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Keely Petersen-snider's NPI number?
The NPI number for Keely Petersen-snider is 1902092547. It was assigned to this individual provider in the NPPES registry on September 18, 2007.
Where is Keely Petersen-snider located?
Keely Petersen-snider practices at 3156 State St, Medford, OR 97504. The listed phone number is (541) 476-2373.
What is Keely Petersen-snider's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Keely Petersen-snider enrolled in Medicare?
Yes. Keely Petersen-snider is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Keely Petersen-snider was last updated on October 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Keely Aubrey Petersen-Snider, PMHNP · NPI 1902092547
Psychiatric/Mental Health physician in Medford, Oregon. Individual provider, active in the CMS NPPES registry since September 18, 2007.
## Identity
- **NPI:** 1902092547 (Entity type: Individual)
- **Enumerated:** September 18, 2007
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 201050176NP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3156 STATE ST, Medford, OR 97504
- **Phone:** (541) 476-2373
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 22, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1902092547) · Data from the CMS NPPES public registry.