Individual provider Active NPI

Virginia Katherina Glass, APRN

  • Obstetrics & Gynecology Nurse Practitioner
  • Milton, FL
National Provider Identifier
1306733282
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
APRN11040375 Issued in FL
Practice address
6072 Doctors Park
Milton, FL 32570-5072
Phone
(544) 785-0626
NPI assigned
Jun 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X APRN11040375 FL Primary

Addresses

Primary practice location

6072 Doctors Park
Milton, FL 32570-5072

Mailing address

1071 Kelton Blvd
Gulf Breeze, FL 32563-5525
Phone (850) 373-9738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250716003321 FL Practitioner - Nurse Practitioner 5496260549 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Okaloosa Clinic CorpGroup PAC ID 0244205565, 27 clinicians
Santa Rosa Hma Physician Management, LLCGroup PAC ID 1658478532, 51 clinicians

Practice addresses (Care Compare)

550 Redstone W Ave
Suite 470
Crestview, FL 32536-6457
Phone (850) 689-2229

6072 Doctors Park Rd
Milton, FL 32580-5072
Phone (850) 983-3528

Hospital & facility affiliations

  • Santa Rosa Medical Center Hospital, Milton, FL, CCN 100124

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11040375FLMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Okaloosa Clinic Corp CurrentSince Nov 5, 2025 Accepting new patients
Santa Rosa Hma Physician Management, LLC CurrentSince Aug 11, 2025 Accepting new patients
North Okaloosa Clinic Corp CurrentSince Nov 5, 2025 Accepting new patients

Locations

550 Redstone Ave W
Ste 470
Crestview, FL 32536
Phone (850) 689-2223

6072 Doctors Park
Milton, FL 32570
Phone (850) 626-5447

1507 Merchants Way
Ste A
Niceville, FL 32578
Phone (850) 897-3600

4225 Woodbine Rd
Ste C
Pace, FL 32571
Phone (850) 626-2020

330 Franklin Rd
Ste 135A
Brentwood, TN 37027
Phone (615) 727-0177

Interoperability endpoints

  • Direct secure messaging: virgina.glass.1@1523.direct.athenahealth.com
  • Direct secure messaging: virginia.glass.1@4692.direct.athenahealth.com

Organizations & group practices 3

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 1

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": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1306733282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 KELTON BLVD",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325635525",
            "telephone_number": "850-373-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6072 DOCTORS PARK",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325705072",
            "telephone_number": "544-785-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "VIRGINIA",
        "middle_name": "KATHERINA",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "APRN11040375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

Verify at the official NPI Registry.