Active NPI
Virginia Katherina Glass, APRN
- Obstetrics & Gynecology Nurse Practitioner
- Milton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- APRN11040375
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 CorpSanta Rosa Hma Physician Management, LLC
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11040375 | FL | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Okaloosa Clinic Corp | Current | Accepting new patients | |
| Santa Rosa Hma Physician Management, LLC | Current | Accepting new patients | |
| North Okaloosa Clinic Corp | Current | 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
- virgina.glass.1@1523.direct.athenahealth.com
- 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.
-
- Durable Medical Equipment & Medical Supplies
- Crestview, FL
- NPI 1477738896
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.