Individual provider Active NPI

Gayle Raye Glenn, NP

  • Family Nurse Practitioner
  • Deming, NM
National Provider Identifier
1013802156
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
84397 Issued in NM
Practice address
111 N Pearl St
Deming, NM 88030-3835
Phone
(575) 517-2725
NPI assigned
Jun 10, 2025
Last updated
Mar 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 84397 NM Primary

Addresses

Primary practice location

111 N Pearl St
Deming, NM 88030-3835

Mailing address

111 N Pearl St
Deming, NM 88030-3835
Phone (575) 571-2725

Other names 1

  • Gayle Raye Bassett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251013002159 NM Practitioner - Nurse Practitioner 3476040601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summits Healthcare, LLCGroup PAC ID 9133552813, 4 clinicians

Practice addresses (Care Compare)

111 N Pearl St
Deming, NM 88030-3835
Phone (575) 517-2725

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summits Healthcare, LLC Family CurrentSince Oct 1, 2025 Accepting new patients

Locations

111 N Pearl St
Deming, NM 88030
Phone (575) 517-2725

722 E Florida St
Deming, NM 88030
Phone (505) 546-2555

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1013802156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N PEARL ST",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880303835",
            "telephone_number": "575-571-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N PEARL ST",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880303835",
            "telephone_number": "575-517-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "GAYLE",
        "middle_name": "RAYE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-10",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "84397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAYLE",
            "last_name": "BASSETT",
            "middle_name": "RAYE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Deming, NM

Sources for this page

Verify at the official NPI Registry.