Active NPI
Jessica Glover, FNP-C
- Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP10342
- Practice address
- 1118 W Lynwood St
Phoenix, AZ 85007-1917 - Phone
- (602) 486-4271
- NPI assigned
- Aug 23, 2017
- 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 | AP10342 | AZ | Primary |
Addresses
Primary practice location
1118 W Lynwood St
Phoenix, AZ 85007-1917
Mailing address
1118 W Lynwood St
Phoenix, AZ 85007-1917
Phone (602) 486-4271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 S Ave a
Yuma, AZ 85364-7127
Phone (954) 939-5000
Hospital & facility affiliations
- Yuma Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP10342 | AZ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| 303 Emergency Physicians PLLC | Nurse Practitioner | Current | Accepting new patients |
| Arizona Em-I Medical Services PC | Nurse Practitioner | Current | Accepting new patients |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| San Carlos Apache Healthcare Corporation | Current | Accepting new patients | |
| San Carlos Apache Healthcare Corporation | Current | Accepting new patients | |
| Yuma Regional Medical Center | Past | Accepting new patients |
Locations
269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251
103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200
4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187
33423 N 32nd Ave
Phoenix, AZ 85085
Phone (623) 474-1600
520 Rose Ln
Wickenburg, AZ 85390
Phone (928) 666-1197
2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100
11351 S Frontage Rd
Yuma, AZ 85367
Phone (928) 336-2000
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Yuma, AZ
- NPI 1518398585
Nurse Practitioner
-
- Public Health or Welfare Agency
- Phoenix, AZ
- NPI 1083643738
TX
-
- Critical Access Hospital Clinic/Center
- Peridot, AZ
- NPI 1265813075
TX
-
- Public Health or Welfare Agency
- Maricopa, AZ
- NPI 1538043443
-
- Clinic/Center
- Bylas, AZ
- NPI 1417330713
-
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640908800000",
"number": "1124545835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1118 W LYNWOOD ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850071917",
"telephone_number": "602-486-4271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1118 W LYNWOOD ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850071917",
"telephone_number": "602-486-4271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOVER",
"first_name": "JESSICA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-23",
"last_updated": "2021-12-31",
"certification_date": "2021-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "AP10342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2021; 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.