Individual provider Active NPI

Jessica Jean Glinski, DNP, FNP-BC

  • Family Nurse Practitioner
  • Merrillville, IN
National Provider Identifier
1255066262
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71012941A Issued in IN
Practice address
5043 E 81St Ave
Merrillville, IN 46410-5912
Phone
(219) 707-5276
NPI assigned
Jul 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 28210532A IN
Family Nurse Practitioner 363LF0000X 71012941A IN Primary

Addresses

Primary practice location

5043 E 81St Ave
Merrillville, IN 46410-5912

Mailing address

307 Carlson Dr
Knox, IN 46534-2304
Phone (844) 458-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20220901001307 IN Practitioner - Nurse Practitioner 2961886452 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28210532AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Mso, LLC CurrentSince Aug 6, 2023 Accepting new patients
Nwi Urgent Care, LLC Family Medicine CurrentSince Aug 17, 2022 Accepting new patients
The Methodist Hospitals, Inc PastSince Aug 17, 2022 Accepting new patients

Locations

129 E 107th Ave
Crown Point, IN 46307
Phone (219) 662-4134

31 Sibley St
Ste A
Hammond, IN 46320
Phone (219) 802-8800

307 Carlson Dr
Knox, IN 46534
Phone (844) 458-2800

5043 E Lincoln Hwy
Merrillville, IN 46410
Phone (219) 554-3290

8135 Calumet Ave
Munster, IN 46321
Phone (219) 513-2000

Interoperability endpoints

  • Direct secure messaging: jessica.glinski.1@23284.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1255066262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 CARLSON DR",
            "city": "KNOX",
            "state": "IN",
            "postal_code": "465342304",
            "telephone_number": "844-458-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5043 E 81ST AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105912",
            "telephone_number": "219-707-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLINSKI",
        "first_name": "JESSICA",
        "middle_name": "JEAN",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "28210532A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012941A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.