KIMBERLEE JO SNIDER (RN) – Family Nurse Practitioner, NPI 1629807797

KIMBERLEE JO SNIDER (RN) is a healthcare provider. based in Woodward, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials RN. They hold a License No. R0105078 (OK). The NPI Number for KIMBERLEE JO SNIDER (RN) is 1629807797

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLEE JO SNIDER (RN)
NPI
1629807797
Phone
(580) 254-5511
Address
900 17TH ST
Enumeration Date
29 July 2024
Last Update Date
9 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5802542377
Graduation Year
2024 (2 years ago)
PAC ID
2567995228
Group Practice PAC ID
3375832157
Professional Enrollment ID
I20241101002872
Address ID
OK738014454WO1327XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:1State licenses:2Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for KIMBERLEE JO SNIDER (RN)

  • 900 17TH ST

    WOODWARD, OK 738012448

    Phone: (580) 254-5511

    Type: Location

  • 42870 S COUNTY ROAD 214

    MOORELAND, OK 738529038

    Phone: (580) 574-4927

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-11-01

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
I20241101002872INurse PractitionerOKTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73801)

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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: 3375832157View full group profile
NameSpecialtyState
Clinical Social WorkerOK
Physician AssistantOK
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK
Internal Medicine, Pediatric MedicineOK
Hospitalist, Internal Medicine, Internal MedicineTX
Nurse PractitionerOK
-KS
Clinical Social WorkerOK

Reviews

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Frequently asked questions

What unique ID ties claims to KIMBERLEE JO SNIDER (RN)?
NPI 1629807797 is assigned to KIMBERLEE JO SNIDER (RN) under the national enumeration system.
Does this profile mean KIMBERLEE JO SNIDER (RN) is currently active?
Yes — KIMBERLEE JO SNIDER (RN) appears active in the national provider directory.
Can you summarize KIMBERLEE JO SNIDER (RN)'s specialty in plain language?
Clinically, the directory lists KIMBERLEE JO SNIDER (RN) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for KIMBERLEE JO SNIDER (RN)?
The page summarizes Woodward, Oklahoma for KIMBERLEE JO SNIDER (RN); expand the address list for detail.
What if Woodward, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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