Tina Snodgrass Derm, PLLC
NPI 1619219581 · Family Nurse Practitioner · Beaver Dam, KY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tina Snodgrass Derm, PLLC is a Family Nurse Practitioner organization in Beaver Dam, KY (NPI 1619219581).
Provider details
- NPI number
- 1619219581
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Tina Snodgrass, President(270) 929-5578
- License
- 3002620 (KY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-03-19
- Last updated
- 2024-12-05
- Certified
- 2024-12-05
Frequently asked questions
- What is Tina Snodgrass Derm, PLLC's NPI number?
- Tina Snodgrass Derm, PLLC's National Provider Identifier (NPI) is 1619219581, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tina Snodgrass Derm, PLLC?
- Tina Snodgrass Derm, PLLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Tina Snodgrass Derm, PLLC located?
- Tina Snodgrass Derm, PLLC's practice location on file with NPPES is 1219 N Main St Ste 2, Beaver Dam, KY 42320-8955.
- What is Tina Snodgrass Derm, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Tina Snodgrass Derm, PLLC is (270) 926-0707.
- Does Tina Snodgrass Derm, PLLC accept Medicare?
- Tina Snodgrass Derm, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tina Snodgrass Derm, PLLC?
- The authorized official listed on Tina Snodgrass Derm, PLLC's NPPES record is Tina Snodgrass, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tina Snodgrass Derm, PLLC's NPI active?
- Yes — Tina Snodgrass Derm, PLLC's NPI (1619219581) is active in the NPPES registry as of the last update on 2024-12-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.