NPIMap

Individual provider Active NPI

Nathan T Glass, PA-C

  • Medical Physician Assistant
  • Smithfield, PA
National Provider Identifier
1043623663
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
100 Ridgeview Dr Ste 100
Smithfield, PA 15478-1650
Phone
(724) 569-8100
NPI assigned
Jun 11, 2014
Last updated
Jan 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA0624987 PA
Medical Physician Assistant 363AM0700X NU Primary

Addresses

Primary practice location

100 Ridgeview Dr Ste 100
Smithfield, PA 15478-1650

Mailing address

100 Ridgeview Dr # 100
Smithfield, PA 15478-1650
Phone (724) 569-8100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nglass@MMI-PA.direct.office.nextgen.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211011001786 PA Practitioner - Physician Assistant 4688893480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Montgomery Medical IncGroup PAC ID 1355588542, 11 clinicians

Practice addresses (Care Compare)

105 Laurel View Dr
Smithfield, PA 15478-8908
Phone 7245698100206

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA0624987PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Medical, Inc. PastSince Dec 1, 2023 Accepting new patients
Myprimary, LLC Past Accepting new patients

Networks

  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: nathanglass@mmi-pa.direct.office.nextgen.com
  • Direct secure messaging: nglass@mmi-pa.direct.office.nextgen.com

Organizations & group practices 3

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 7

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": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1043623663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RIDGEVIEW DR # 100",
            "city": "SMITHFIELD",
            "state": "PA",
            "postal_code": "154781650",
            "telephone_number": "724-569-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RIDGEVIEW DR STE 100",
            "city": "SMITHFIELD",
            "state": "PA",
            "postal_code": "154781650",
            "telephone_number": "724-569-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "NATHAN",
        "middle_name": "T",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-11",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA0624987",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nglass@MMI-PA.direct.office.nextgen.com",
            "affiliation": "N",
            "endpointDescription": "direct mail EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 Ridgeview Dr Ste 100",
            "city": "Smithfield",
            "state": "PA",
            "country_code": "US",
            "postal_code": "154781650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Smithfield, PA

Sources for this page

Verify at the official NPI Registry.