Individual provider Active NPI

Kylee Anne Glahn, PA-C

  • Surgical Physician Assistant
  • Gallatin, TN
National Provider Identifier
1053981209
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
5215 Issued in TN
Practice address
300 Steam Plant Rd # 400
Gallatin, TN 37066-3032
Phone
(615) 675-0901
Fax
(615) 442-8824
NPI assigned
Jun 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5215 TN
Student in an Organized Health Care Education/Training Program 390200000X
Surgical Physician Assistant 363AS0400X 5215 TN Primary

Addresses

Primary practice location

300 Steam Plant Rd # 400
Gallatin, TN 37066-3032

Mailing address

PO Box 210127
Nashville, TN 37221-0127
Phone (615) 383-2443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20230130000157 TN Practitioner - Physician Assistant 7618348624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurosurgical AssociatesGroup PAC ID 8022099142, 27 clinicians

Practice addresses (Care Compare)

2400 Patterson St
Suite 319
Nashville, TN 37203-1566
Phone 6159861256118

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5215TNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates Medical CurrentSince Nov 17, 2022 Accepting new patients
Trevecca Nazarene University PastSince Jul 1, 2021 Accepting new patients
Advanced Diagnostic Imaging, PC Surgical Past Accepting new patients

Locations

300 Steam Plant Rd
#400
Gallatin, TN 37066
Phone (615) 675-0901

2400 Patterson St
Ste 319
Nashville, TN 37203

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1053981209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 210127",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372210127",
            "telephone_number": "615-383-2443",
            "fax_number": "615-383-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STEAM PLANT RD # 400",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663032",
            "telephone_number": "615-675-0901",
            "fax_number": "615-442-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAHN",
        "first_name": "KYLEE",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "5215",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "5215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

Verify at the official NPI Registry.