Individual provider Active NPI

Glenn David Turner, ARNP

  • Nurse Practitioner
  • Plant City, FL
National Provider Identifier
1073656203
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3209212 Issued in FL
Practice address
3302 W Baker St
Plant City, FL 33563-2851
Phone
(813) 752-1336
Fax
(813) 754-6914
NPI assigned
Feb 15, 2007
Last updated
Nov 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3209212 FL Primary

Addresses

Primary practice location

3302 W Baker St
Plant City, FL 33563-2851

Mailing address

1411 Elsa Gale LN
Valrico, FL 33594-2915
Phone (813) 445-7194

Other practice location 1

1009 W Baker St
Plant City, FL 33563-4431
Phone (813) 759-1232

Other identifiers 3

IdentifierTypeStateIssuer
307139100MedicaidFL
P00823821OtherFLRAILROAD MCR LINKED TO GRP# CE0943
Y109POtherFLBCBS OF FL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080806000426 FL Practitioner - Nurse Practitioner 5092889287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas a Digeronimo MD PAGroup PAC ID 4688774623, 4 clinicians

Practice addresses (Care Compare)

3302 W Baker St
Plant City, FL 33563-2851
Phone (813) 752-1336

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3209212FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas a Digeronimo MD PA CurrentSince Dec 15, 2007 Accepting new patients
Keystone Clinical Group PastSince Nov 9, 2025 Accepting new patients

Locations

3302 W Baker St
Plant City, FL 33563
Phone (813) 752-1336

13117 Elk Mountain Dr
Riverview, FL 33579
Phone (561) 951-8449

2106 Ashley Oaks Cir
Ste 101
Wesley Chapel, FL 33544
Phone (813) 708-8346

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: glenn.turner.1@11837.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11837/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 4

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1073656203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 ELSA GALE LN",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335942915",
            "telephone_number": "813-445-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 W BAKER ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335632851",
            "telephone_number": "813-752-1336",
            "fax_number": "813-754-6914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1009 W Baker St",
            "address_purpose": "LOCATION",
            "city": "Plant City",
            "state": "FL",
            "postal_code": "335634431",
            "country_code": "US",
            "telephone_number": "813-759-1232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TURNER",
        "first_name": "GLENN",
        "middle_name": "DAVID",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "3209212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307139100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR LINKED TO GRP# CE0943",
            "identifier": "P00823821",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "Y109P",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

Verify at the official NPI Registry.