Individual provider Active NPI

Glenna K Howe, APRN

  • Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1245058882
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
267475 Issued in AZ
Practice address
12665 W Smokey Dr
Surprise, AZ 85378-3732
Phone
(623) 219-4040
NPI assigned
Oct 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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 267475 AZ Primary

Addresses

Primary practice location

12665 W Smokey Dr
Surprise, AZ 85378-3732

Mailing address

17172 W Wildwood St
Surprise, AZ 85388-3044
Phone (623) 377-8513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20241014004276 AZ Practitioner - Nurse Practitioner 3870025968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

12665 W Smokey Dr
Suite 140
Surprise, AZ 85378-3732
Phone (623) 219-4040

Hospital & facility affiliations

  • Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
267475AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Arthritis & Rheumatology Associates - Az PLLC Rheumatology CurrentSince Oct 10, 2024 Accepting new patients
Arthritis Consultants PC Rheumatology PastSince Oct 6, 2024 Accepting new patients

Locations

12665 W Smokey Dr
Ste 140
Surprise, AZ 85378
Phone (623) 219-4040

2255 Glades Rd
Ste 228W
Boca Raton, FL 33431
Phone (561) 699-7101

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12816/brand/1/csg/1/fhir/r4
  • Direct secure messaging: glennakay.howe.p32@direct.aara1.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EJAJBA
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/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 and National Provider Directory roles.

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": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1245058882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17172 W WILDWOOD ST",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853883044",
            "telephone_number": "623-377-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12665 W SMOKEY DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853783732",
            "telephone_number": "623-219-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWE",
        "first_name": "GLENNA",
        "middle_name": "K",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "267475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.