Active NPI
Kristi Kay Glanzer, CNP
- Nurse Practitioner
- Huron, SD
National Provider Identifier
1245232008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0227
- Practice address
- 111 4TH St SE
Huron, SD 57350-2509 - Phone
- (605) 352-8691
- Fax
- (605) 352-8704
- NPI assigned
- Aug 11, 2005
- 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 | 0227 | SD | Primary |
Addresses
Primary practice location
111 4TH St SE
Huron, SD 57350-2509
Mailing address
111 4TH St SE
Huron, SD 57350-2509
Phone (605) 352-8691
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A004 | Other | TRICARE | |
| 6823210 | Medicaid | SD | |
| 0002386 | Other | SD | WELLMARK BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100105000282 | SD | Practitioner - Nurse Practitioner | 4587705199 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 4TH St SE
Huron, SD 57350-2509
Phone (605) 352-8691
Hospital & facility affiliations
- Huron Regional Medical Ctr HHA
- Huron Regional Medical Center
- Sanford Usd Medical Center
- Avera Queen of Peace
- Avera McKennan Hospital & University Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0227 | SD | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huron Clinic Foundation LTD | Current | Accepting new patients |
Locations
111 4th St SE
Huron, SD 57350
Phone (605) 352-8691
Interoperability endpoints
- kristi.glanzer.1@11885.direct.athenahealth.com
- kristi.glanzer@avera.sdhealthlink.net
Organizations & group practices 1
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 29
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Endocrinology, Diabetes & Metabolism Physician
- Sioux Falls, SD
- NPI 1396711016
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548288000000",
"number": "1245232008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 4TH ST SE",
"city": "HURON",
"state": "SD",
"postal_code": "573502509",
"telephone_number": "605-352-8691",
"fax_number": "605-352-8704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 4TH ST SE",
"city": "HURON",
"state": "SD",
"postal_code": "573502509",
"telephone_number": "605-352-8691",
"fax_number": "605-352-8704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLANZER",
"first_name": "KRISTI",
"middle_name": "KAY",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-11",
"last_updated": "2019-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SD",
"license": "0227",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "A004",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6823210",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "0002386",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huron, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.