Individual provider Active NPI

Sandra A Glenney, DNP

  • Nurse Practitioner
  • Middletown, CT
National Provider Identifier
1245674720
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
006352 Issued in CT
Practice address
520 Saybrook Rd Ste 100B
Middletown, CT 06457-4700
Phone
(860) 347-8850
Fax
(860) 347-6774
NPI assigned
Apr 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 006352 CT
Registered Nurse First Assistant 163WR0006X 82526 CT
Nurse Practitioner 363L00000X 006352 CT Primary

Addresses

Primary practice location

520 Saybrook Rd Ste 100B
Middletown, CT 06457-4700

Mailing address

520 Saybrook Rd Ste 100B
Middletown, CT 06457-4700
Phone (860) 347-8850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20160224001897 CT Practitioner - Nurse Practitioner 7012212301 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

330 Washington St
Suite 350
Norwich, CT 06360-2700
Phone (860) 889-4991

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
006352CTMDClinical Social Worker
82526CTMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
William W Backus Hospital CurrentSince Jun 25, 2019 Accepting new patients
Norwich Orthopedic Group, P.C. CurrentSince Dec 5, 2015 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Nurse Practitioner CurrentSince Jun 1, 2019 Accepting new patients
Hartford Healthcare Medical Group, Inc Nurse Practitioner CurrentSince Jul 22, 2017 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jun 1, 2019 Accepting new patients
Norwich Orthopedic Group, P.C. CurrentSince Dec 5, 2015 Accepting new patients
The William W Backus Hospital CurrentSince Jun 25, 2019 Accepting new patients
Hartford Healthcare Medical Group, Inc Past Accepting new patients

Locations

520 Saybrook Rd
Ste 100B
Middletown, CT 06457
Phone (860) 347-8850

82 New Park Ave
North Franklin, CT 06254
Phone (860) 889-7345

12 Case St
Ste 313
Norwich, CT 06360
Phone (860) 204-9126

330 Washington St
Ste 350
Norwich, CT 06360
Phone (860) 886-1956

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

5 Dayton Rd
Ste 202
Waterford, CT 06385
Phone (860) 886-1956

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: sandra.glenney@xdr.hhchealthdirect.org

Organizations & group practices 8

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 5

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": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1245674720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SAYBROOK RD STE 100B",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574700",
            "telephone_number": "860-347-8850",
            "fax_number": "860-347-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SAYBROOK RD STE 100B",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574700",
            "telephone_number": "860-347-8850",
            "fax_number": "860-347-6774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENNEY",
        "first_name": "SANDRA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-26",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CT",
            "license": "006352",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "CT",
            "license": "82526",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "006352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.