Kaila M Glenn

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C5-0011771 Issued in DE

Practice address

3506 Kennett Pike Ste 100
Wilmington, DE 19807-3019

Phone

(302) 661-3375

NPI assigned

Aug 29, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE, PA2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christiana Care Pennsylvania IncGroup PAC ID 8921549973, 176 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christiana Hospital Hospital, Newark, DE, CCN 080001

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Christiana Care Pennsylvania Inc

  • Diagnostic Radiology Physician
  • West Grove, PA
  • NPI 1467298299
  Medicare reassignment Care Compare group
• Christiana Care Health Services, Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Wilmington, DE
  • NPI 1770568107
  Medicare reassignment
• Christiana Care Health Services Inc

  • Cardiovascular Disease Physician
  • West Grove, PA
  • NPI 1659547560
  Medicare reassignment
• Christiana Care Health Services Inc

  • Obstetrics & Gynecology Physician
  • Newark, DE
  • NPI 1376528729

  Physician Assistant

  NPD
• Christiana Care Health Services Inc

  • Cardiovascular Disease Physician
  • Chadds Ford, PA
  • NPI 1851712285
  NPD
• Christiana Care Health Services Inc

  • Neurology Physician
  • Chadds Ford, PA
  • NPI 1881228484
  NPD
• Christiana Care Pennsylvania Inc

  • Cardiovascular Disease Physician
  • Chadds Ford, PA
  • NPI 1487494662

  Physician Assistant

  NPD
• Christiana Care Pennsylvania Inc

  • Surgery Physician
  • Glen Mills, PA
  • NPI 1871465419
  NPD
• Christiana Care Health Services, Inc

  • Family Medicine Physician
  • Hockessin, DE
  • NPI 1134104565

  Physician Assistant

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christiana Care Health Services, Inc.

  • General Acute Care Hospital
  • Wilmington, DE
  • NPI 1134194038
  Care Compare affiliation

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1306566641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 KENNETT PIKE STE 100",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198073019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 KENNETT PIKE STE 100",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198073019",
            "telephone_number": "302-661-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "KAILA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0011771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gordon Hayes Glanden, DPT
• Arnold B Glassman, D.O.
• Daniel S Glasstetter, MD
• Larry R Glazerman, MD
• Eileen M Gleasner, APN
• Sally Glenn
• Rochelle A. Glidden, PSY.D.
• Global Medical Equipment & Supplies LLC
• Globaldoc Network LLC
• Shaniasia Glover

• Physician Assistant in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Physician Assistant in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.

Verify at the official NPI Registry.