Active NPI
Dana Jean Glass, ARNP
- Nurse Practitioner
- Jupiter, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11003478
- Practice address
- 4600 Military TRL Ste 107
Jupiter, FL 33458-4811 - Phone
- (561) 427-2000
- Fax
- (561) 776-2565
- NPI assigned
- Jul 30, 2019
- Last updated
- Jul 30, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11003478 | FL | Primary |
Addresses
Primary practice location
4600 Military TRL Ste 107
Jupiter, FL 33458-4811
Mailing address
4600 Military TRL Ste 107
Jupiter, FL 33458-4811
Phone (561) 427-2000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pvitulli@cfdcl.emadirect.md | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22191 Powerline Rd
Suite 29C
Boca Raton, FL 33433-5019
Phone (561) 353-3376
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clearly Derm, LLC | Current | Accepting new patients | |
| Peter a Vitulli Jr D O P a | Current | Accepting new patients | |
| Schweiger Dermatology Group PA | Current | Accepting new patients | |
| S FL Behavioral Health Assoc, LLC | Past | Accepting new patients | |
| Mark E Pomper MD PA | Past | Accepting new patients |
Locations
22191 Powerline Rd
Boca Raton, FL 33433
Phone (561) 368-3433
7000 W Palmetto Park Rd
Ste 110
Boca Raton, FL 33433
Phone (561) 353-3376
22191 Powerline Rd
Ste 29C
Boca Raton, FL 33433
Phone (561) 353-3376
950 SE 5th Ave
Delray Beach, FL 33483
Phone (561) 266-7303
2320 NE 62nd St
Ft Lauderdale, FL 33308
Phone (561) 353-3376
4600 Military Trl
Ste 107
Jupiter, FL 33458
Phone (561) 427-2000
4700 N Congress Ave
Ste 100
West Palm Beach, FL 33407
Phone (561) 806-0030
Interoperability endpoints
- https://clearly.mmi.prod.fhir.ema-api.com/fhir/r4/
- pvitulli@cfdcl.emadirect.md
- dana.glass@schweigerderm.emadirect.md
Organizations & group practices 5
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.
-
dba Schweiger Dermatology Group
- Dermatology Physician
- Leesburg, FL
- NPI 1598843914
-
- Specialist
- Boynton Beach, FL
- NPI 1487947008
-
dba A Center for Dermatology Cosmetic and Laser Surgery
- Dermatology Physician
- Jupiter, FL
- NPI 1306012745
-
dba Horizon Medical Services
- Radiation Oncology Physician
- Homestead, FL
- NPI 1184696858
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hallandale Beach, FL
- NPI 1699538140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564444800000",
"number": "1083268940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 MILITARY TRL STE 107",
"city": "JUPITER",
"state": "FL",
"postal_code": "334584811",
"telephone_number": "561-427-2000",
"fax_number": "561-776-2565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 MILITARY TRL STE 107",
"city": "JUPITER",
"state": "FL",
"postal_code": "334584811",
"telephone_number": "561-427-2000",
"fax_number": "561-776-2565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASS",
"first_name": "DANA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-30",
"last_updated": "2019-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11003478",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pvitulli@cfdcl.emadirect.md",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4600 Military Trl Ste 107",
"city": "Jupiter",
"state": "FL",
"country_code": "US",
"postal_code": "334584811",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.