JUSTIN SNOWDEN (CRNA) – Registered Nurse, NPI 1104841105

JUSTIN SNOWDEN (CRNA) is a healthcare provider. based in Lake bluff, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. AP03916 (LA). The NPI Number for JUSTIN SNOWDEN (CRNA) is 1104841105

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN SNOWDEN (CRNA)
NPI
1104841105
Phone
(318) 323-8887
Address
925 SHERWOOD DR
Enumeration Date
12 July 2006
Last Update Date
19 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3188121760
Graduation Year
2001 (25 years ago)
PAC ID
8224092044
Group Practice PAC ID
7012970627
Professional Enrollment ID
I20041112000090
Address ID
LA712017407MO309XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,619 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in LA

Loading map...

Provider Addresses for JUSTIN SNOWDEN (CRNA)

  • Sherwood Drive, Lake Bluff, Lake, Illinois, 60044, United States

    LAKE BLUFF, IL 600442203

    Phone: (318) 323-8887

    Fax: (847) 615-2858

    Type: Mailing

  • Glenwood Regional Medical Center, 503, McMillan Road, West Monroe, Ouachita Parish, Louisiana, 71291, United States

    WEST MONROE, LA 712915327

    Phone: (318) 323-8887

    Fax: (847) 615-2858

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2024-10-03 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$23
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-11-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041112000090ICertified Registered Nurse Anesthetist (Crna)LATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2120$0
00910Anesthesia for other procedure on urinary system through urethra1212$0
View full utilization report →

Insurance plans in this area (ZIP 60044)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012970627View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YAL
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)MI
A N E S T H E S I O L O G YSC
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)LA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for JUSTIN SNOWDEN (CRNA)?
JUSTIN SNOWDEN (CRNA) — NPI 1104841105 — is the standard way to identify this listing.
Can I rely on JUSTIN SNOWDEN (CRNA) being an active provider?
As of the registry snapshot, JUSTIN SNOWDEN (CRNA) is marked active.
What is JUSTIN SNOWDEN (CRNA)'s specialty?
The listing groups JUSTIN SNOWDEN (CRNA) with Registered Nurse. Clinical services aligned with this taxonomy classification.
Where is JUSTIN SNOWDEN (CRNA) based?
JUSTIN SNOWDEN (CRNA) is tied to Lake Bluff, Illinois in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

KELLY JEAN GARRY (CRNA)

Certified Registered Nurse Anesthetist
Sherwood Drive, Lake Bluff, Lake County, Illinois, 60044, United States
NPI: 1669403069

DENISE Y ROTE-HINTZ (CRNA)

Certified Registered Nurse Anesthetist
Sherwood Drive, Lake Bluff, Lake, Illinois, 60044, United States
NPI: 1275693285

SEAN JOSEPH HINTZ (CRNA)

Certified Registered Nurse Anesthetist
Sherwood Drive, Lake Bluff, Lake County, Illinois, 60044, United States
NPI: 1508926510

TAMMY M COPELAND (CRNA)

Certified Registered Nurse Anesthetist
1400 BRADEN ST
NPI: 1487870283
205 RIVERS DR
NPI: 1922332501

MRS. JENELL DIANE JACKLEY (CPNP)

Pediatric Nurse Practitioner
917 SHERWOOD DR
NPI: 1942502612

SUSAN WATTS

Registered Nurse
28650 BRAELOCH CT
NPI: 1508305079

CAITLIN GERALDINE GOLOTA

Pediatric Nurse Practitioner
545 N MCCLURG CT UNIT 4204
NPI: 1477399723