Rejuvanation
NPI 1629213814ActiveOrganization· Nurse Practitioner, Family· Bloomington, IL
Nurse Practitioner, Family in Bloomington, Illinois, registered in NPPES in December 2008. The authorized official on file is Shawn C. Snider, MSN, Cnp.
Overview
| NPI | 1629213814 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 2, 2008 |
| Last updated in NPPES | Dec 2, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 209005824 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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