SAVANNA JAYE SNOW PA-C
NPI 1952135576
Physician Assistant - Medical in Peoria, IL

Q: What is Savanna Snow's NPI number?

The NPI number for Savanna Snow is 1952135576. It was assigned to this individual provider in the NPPES registry on August 27, 2024. The provider is also known as Savanna Jaye Staley.

Q: What is Savanna Snow's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Savanna Snow was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 August 27, 2024PECOS Enrolled

420 NE GLEN OAK AVE, PEORIA, IL 61603(618) 218-8241 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2024, Oct 3, 2024 (2 updates tracked since 2024).

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About Savanna Jaye Snow Pa-c NPPES

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

SAVANNA JAYE SNOW PA-C (NPI 1952135576) is an individual medical provider in Peoria, Illinois, licensed in Illinois (085.010776) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1952135576

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameSAVANNA JAYE SNOWCredential: PA-C

Location Address420 NE GLEN OAK AVEPeoria, IL 61603-3106

Mailing Address23799 Spring Creek RdWashington, IL 61571-9667 · (618) 218-8241

Phone(618) 218-8241

Sole ProprietorNo

Enumeration DateAugust 27, 2024

Last NPPES UpdateApril 22, 20252 updates tracked since enumeration

NPPES CertifiedApril 22, 2025

✔ NPI 1952135576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in IL · 085.010776

Also ListedPhysician AssistantTaxonomy 363A00000X

420 NE GLEN OAK AVE, Peoria, IL 61603

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Other Names 1

Former Name (1)Savanna Jaye Staley

Secondary Practice Location 1

Location 123799 Spring Creek RdWashington, IL 61571-9667 · Phone (618) 218-8241

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Savanna Jaye Snow Pa-c 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.

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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.

LINDA SCHMIDGALL

Nurse Practitioner

420 NE GLEN OAK AVE, SUITE 200
PEORIA, IL 61603

Peoria County (309) 624-5100

SANDRA L. PEACH APN

Nurse Practitioner

420 NE GLEN OAK AVE
PEORIA, IL 61603

Peoria County (309) 655-2343

SAINT FRANCIS MEDICAL CENTER

Pediatrics (Pediatric Cardiology)

420 NE GLEN OAK AVE, SUITE 304
PEORIA, IL 61603

Peoria County (309) 655-3453

CHARLES APRAHAMIAN MD

Surgery (Pediatric Surgery)

420 NE GLEN OAK AVE, SUITE 201
PEORIA, IL 61603

Peoria County (309) 655-3800

MRS. HEATHER A BOORE APN, CNS-BC

Clinical Nurse Specialist (Pediatrics)

420 NE GLEN OAK AVE, SUITE 401
PEORIA, IL 61603

Peoria County (309) 624-9844

DR. MATTHEW T BRAMLET MD

Pediatrics (Pediatric Cardiology)

420 NE GLEN OAK AVE, SUITE 301
PEORIA, IL 61603

Peoria County (309) 655-3453

GREGORY PUSZKIEWICZ R.PH.

Pharmacist

420 NE GLEN OAK AVE
PEORIA, IL 61603

Peoria County (309) 624-8777

PEDIATRIC CARDIOLOGY ASSOCIATES SC

Pediatrics (Pediatric Cardiology)

420 NE GLEN OAK AVE, SUITE 304
PEORIA, IL 61603

Peoria County (309) 655-3453

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 Savanna Snow's NPI number?

The NPI number for Savanna Snow is 1952135576. It was assigned to this individual provider in the NPPES registry on August 27, 2024. The provider is also known as Savanna Jaye Staley.

Where is Savanna Snow located?

Savanna Snow practices at 420 NE Glen Oak Ave, Peoria, IL 61603. The listed phone number is (618) 218-8241.

What is Savanna Snow's specialty?

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

Is Savanna Snow enrolled in Medicare?

Yes. Savanna Snow is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Savanna Snow was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.