Individual provider Active NPI

Glenn Warpula, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Waynesville, NC
National Provider Identifier
1306478581
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5012815 Issued in NC
Practice address
1207 East St
Waynesville, NC 28786-3438
Phone
(828) 631-3973
Fax
(828) 631-9280
NPI assigned
Feb 6, 2020
Last updated
Mar 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 243188 NC
Family Nurse Practitioner 363LF0000X 5012815 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5012815 NC Primary

Addresses

Primary practice location

1207 East St
Waynesville, NC 28786-3438

Mailing address

220 5TH Ave E
Hendersonville, NC 28792-4377
Phone (828) 692-4289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200408001141 NC Practitioner - Nurse Practitioner 9830528124 Reassigns benefits to 4 organizations

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
Blue Ridge Community Health Services, Inc.Group PAC ID 3173434743, shared by 22 NPIs, 95 clinicians

Practice addresses (Care Compare)

29 W French Broad St
Suite 210
Brevard, NC 28712-4773
Phone (828) 692-4289

307 Broadview Rd
Waynesville, NC 28786-3466
Phone (828) 452-9258

65 N Broad St
Brevard, NC 28712-3725
Phone (828) 883-2708

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
243188NCMDRegistered Nurse
5012815NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Behavioral Health Services, Inc. CurrentSince Feb 12, 2020 Accepting new patients
Meridian Behavioral Health Services, Inc. Current Accepting new patients
Meridian Behavioral Health Services CurrentSince Feb 12, 2020 Accepting new patients
Blue Ridge Community Health Services, Inc CurrentSince Nov 23, 2021 Accepting new patients
Blue Ridge Community Health Services, Inc. CurrentSince Dec 23, 2021 Accepting new patients
Blue Ridge Community Health Services Inc CurrentSince Nov 23, 2021 Accepting new patients

Locations

29 W French Broad St
Ste 210
Brevard, NC 28712
Phone (828) 883-5550

65 N Broad St
Brevard, NC 28712
Phone (828) 883-2708

69 N Broad St
Brevard, NC 28712
Phone (828) 883-2708

674 Highlands Rd
Franklin, NC 28734
Phone (828) 349-0001

220 5th Ave E
Hendersonvlle, NC 28792
Phone (828) 337-3372

44 Bonnie Ln
Sylva, NC 28779
Phone (828) 586-5501

1207 East St
Waynesville, NC 28786
Phone (828) 456-2997

131 Walnut St
Waynesville, NC 28786
Phone (828) 456-8604

307 Broadview Rd
Waynesville, NC 28786
Phone (828) 452-9258

Interoperability endpoints

  • Direct secure messaging: glenn.warpula.1@21884.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1306478581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 5TH AVE E",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287924377",
            "telephone_number": "828-692-4289",
            "fax_number": "828-696-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 EAST ST",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287863438",
            "telephone_number": "828-631-3973",
            "fax_number": "828-631-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARPULA",
        "first_name": "GLENN",
        "credential": "FNP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-06",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "243188",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5012815",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5012815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, NC

Sources for this page

Verify at the official NPI Registry.