Individual provider Active NPI

Anthony Erik Glydwell, FNP-C

  • Family Nurse Practitioner
  • Clarksville, TN
National Provider Identifier
1104251776
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
39135 Issued in TN
Practice address
1000 Highway 76
Clarksville, TN 37043-8405
Phone
(931) 245-1150
NPI assigned
Sep 13, 2013
Last updated
Nov 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 39135 TN Primary

Addresses

Primary practice location

1000 Highway 76
Clarksville, TN 37043-8405

Mailing address

1000 Highway 76
Clarksville, TN 37043-8405
Phone (931) 245-1150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IA, TN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20131206001703 TX Practitioner - Nurse Practitioner 6800023300 Reassigns benefits to 2 organizations
I20190111000082 IA Practitioner - Nurse Practitioner 6800023300 Reassigns benefits to 7 organizations
I20251030000881 TN Practitioner - Nurse Practitioner 6800023300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sac and Fox of the Miss in IowaGroup PAC ID 6507806239, 11 clinicians
Covenant Family Practice, PCGroup PAC ID 6305839093, 15 clinicians

Practice addresses (Care Compare)

1000 Brandilynn Blvd
Cedar Falls, IA 50613-7462

1646 305TH St
Tama, IA 52339-9679
Phone (641) 484-4094

1655 E San Marnan Dr
Suite H
Waterloo, IA 50702-4378
Phone (319) 232-2281

21 W Roby Dr
Erin, TN 37061-6113
Phone (931) 289-2450

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39135TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marengo Memorial Hospital CurrentSince Dec 23, 2019 Accepting new patients
Trinity Regional Medical Center CurrentSince Dec 22, 2018 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Veterans Memorial Hospital City of Waukon Ia CurrentSince Jun 1, 2024 Accepting new patients
Covenant Family Practice, PC CurrentSince Sep 10, 2025 Accepting new patients
Veterans Memorial Hospital City of Waukon Ia Current Accepting new patients
Stewart Memorial Community Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Apr 13, 2020 Accepting new patients
Veterans Memorial Hospital City of Waukon Ia CurrentSince Jun 1, 2024 Accepting new patients
Carnegie Indian Health Center CurrentSince Oct 26, 2013 Accepting new patients
Audubon County Memorial Hospital CurrentSince Apr 15, 2024 Accepting new patients
Stewart Memorial Community Hospital CurrentSince Jul 29, 2023 Accepting new patients
Marengo Memorial Hospital CurrentSince Dec 23, 2019 Accepting new patients
Stewart Memorial Community Hospital CurrentSince Jul 29, 2023 Accepting new patients
Anadarko Indian Health Center CurrentSince Oct 26, 2013 Accepting new patients

Locations

515 Pacific Ave
Audubon, IA 50025
Phone (712) 563-2611

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

1301 W Main St
Lake City, IA 51449
Phone (712) 464-3171

300 W May St
Marengo, IA 52301
Phone (319) 462-8011

300 W May St
Ste A
Marengo, IA 52301
Phone (319) 642-5543

40 1st St SE
Waukon, IA 52172
Phone (563) 568-3411

101 Cedar River Pkwy
Ste 101
Waverly, IA 50677
Phone (319) 352-1037

212 E 4th St
Carnegie, OK 73015
Phone (580) 654-1100

1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350

1000 Highway 76
Clarksville, TN 37043
Phone (931) 245-1150

Interoperability endpoints

  • Direct secure messaging: aglydwell657138@direct.unitypoint.org
  • Direct secure messaging: anthony.glydwell.1@18155.direct.athenahealth.com
  • Direct secure messaging: anthony.glydwell.p1@direct.meskwakihealth.nextgenshare.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1104251776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HIGHWAY 76",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438405",
            "telephone_number": "931-245-1150",
            "fax_number": "931-289-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HIGHWAY 76",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438405",
            "telephone_number": "931-245-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLYDWELL",
        "first_name": "ANTHONY",
        "middle_name": "ERIK",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-13",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "39135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.