Keely Aubrey Petersen-snider, PMHNP - Medicare Nurse Practitioner in Medford, OR

Keely Aubrey Petersen-snider, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Medford, Oregon. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Peacehealth Medical Group and her current practice location is 3156 State St, Medford, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 476-2373.

Keely Aubrey Petersen-snider is licensed to practice in Oregon (license number 201050176NP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902092547.

Contact Information

Keely Aubrey Petersen-snider, PMHNP
3156 State St,
Medford, OR 97504
(541) 476-2373
Not Available

Map and Direction




Provider's Profile

Full NameKeely Aubrey Petersen-snider
GenderFemale
SpecialityNurse Practitioner
Experience14 Years
Location3156 State St, Medford, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Keely Aubrey Petersen-snider graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1902092547
  • Provider Enumeration Date: 09/18/2007
  • Last Update Date: 10/22/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6406009315
  • Enrollment ID: I20121228000473

Medical Identifiers

Medical identifiers for Keely Aubrey Petersen-snider such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902092547NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 073586 (Iowa)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 201050176NP (Oregon)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Peacehealth Medical Group9032023270206

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Keely Aubrey Petersen-snider allows following entities to bill medicare on her behalf.
Entity NamePeacehealth Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447207287
PECOS PAC ID: 9032023270
Enrollment ID: O20031113000097
Entity NamePeacehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982774378
PECOS PAC ID: 4587573001
Enrollment ID: O20031215000598

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keely Aubrey Petersen-snider is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Keely Aubrey Petersen-snider, PMHNP
1215 Sw G St,
Grants Pass, OR 97526-2544

Ph: (541) 476-2373
Keely Aubrey Petersen-snider, PMHNP
3156 State St,
Medford, OR 97504

Ph: (541) 476-2373

Reviews and Comments


Nurse Practitioner Nurses in Medford, OR

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Mrs. Lauren E Hodgdon, FNP
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Phone: 541-779-1672    
Elizabeth L Pethtel, FNP
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Phone: 541-864-8900    Fax: 541-245-3315
Matthew Filoon, FNP
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Practice Location: 3011 E Barnett Rd, Medford, OR 97504
Phone: 541-789-4673    Fax: 541-789-2121

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.