Active NPI
Derek Glazier, PA
- Physician Assistant
- Reno, NV
National Provider Identifier
1043731771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 5560 Kietzke LN.
BLDG. a
Reno, NV 89511 - Phone
- (775) 322-7811
- Fax
- (775) 322-1431
- NPI assigned
- Jul 3, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
5560 Kietzke LN.
BLDG. a
Reno, NV 89511
Mailing address
5560 Kietzke LN.
BLDG. a
Reno, NV 89511
Phone (775) 322-7811
Other practice location 1
1500 E 2nd St Ste 300
Reno, NV 89502-1198
Phone (775) 322-7811
Other practice location 2
10745 Double R Blvd
Reno, NV 89521-8979
Phone (775) 322-7811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- George Washington University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5560 Kietzke LN
BLDG a
Reno, NV 89511-3019
Phone (775) 322-7811
Hospital & facility affiliations
- Renown Regional Medical Center
- Northern Nevada Medical Center
- Renown South Meadows Medical Center
- Saint Mary'S Regional Medical Center
- Banner Lassen Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.71 of 100
- Quality
- 81.42
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology Nevada LTD | Current | Accepting new patients |
Locations
10745 Double R Blvd
Reno, NV 89521
Phone (775) 322-7811
5560 Kietzke Ln
Bldg A
Reno, NV 89511
Phone (775) 322-7811
5560 Kietzke Ln
Reno, NV 89511
Phone (775) 284-1612
1500 E 2nd St
Ste 300
Reno, NV 89502
Phone (775) 322-7811
5070 Ion Dr
Ste 201
Sparks, NV 89436
Phone (775) 322-7811
Interoperability endpoints
- https://api.platform.athenahealth.com/19482/brand/1/csg/1/fhir/r4
- derek.glazier.1@19482.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Urology Physician
- Reno, NV
- NPI 1316162795
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Reno, NV
- NPI 1801152566
-
- Rehabilitation Hospital Unit
- Reno, NV
- NPI 1851658025
-
- General Acute Care Hospital
- Reno, NV
- NPI 1124098421
-
- General Acute Care Hospital
- Sparks, NV
- NPI 1932517299
-
- General Acute Care Hospital
- Reno, NV
- NPI 1720058027
-
- General Acute Care Hospital
- Sparks, NV
- NPI 1548250582
-
- General Acute Care Hospital
- Reno, NV
- NPI 1609451327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531785600000",
"number": "1043731771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5560 KIETZKE LN.",
"address_2": "BLDG. A",
"city": "RENO",
"state": "NV",
"postal_code": "89511",
"telephone_number": "775-322-7811",
"fax_number": "775-322-1431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5560 KIETZKE LN.",
"address_2": "BLDG. A",
"city": "RENO",
"state": "NV",
"postal_code": "89511",
"telephone_number": "775-322-7811",
"fax_number": "775-322-1431"
}
],
"practiceLocations": [
{
"address_1": "1500 E 2nd St Ste 300",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "895021198",
"country_code": "US",
"telephone_number": "775-322-7811",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10745 Double R Blvd",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "895218979",
"country_code": "US",
"telephone_number": "775-322-7811",
"fax_number": "775-322-1431",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLAZIER",
"first_name": "DEREK",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-03",
"last_updated": "2018-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.