David Peter Glenn, PMHNP-BC, RN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.0029457 Issued in OH

Practice address

4770 Indianola Ave Ste 209
Columbus, OH 43214-1862

Phone

(614) 427-3205

Fax

(727) 677-0064

NPI assigned

Aug 4, 2016

Last updated

Dec 30, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Ohio State University College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Real Psychiatric Services LLCGroup PAC ID 0749700631, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Real Psychiatric Services LLC

  • Psychiatry Physician
  • Columbus, OH
  • NPI 1861102105
  Medicare reassignment Care Compare group NPD
• Mesmerize Psychiatric Services L.L.C.

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, OH
  • NPI 1417641994
  NPD

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1316491673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 MINERVA ST",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448831562",
            "telephone_number": "614-427-3205",
            "fax_number": "727-677-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 INDIANOLA AVE STE 209",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141862",
            "telephone_number": "614-427-3205",
            "fax_number": "727-677-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "DAVID",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC, RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-04",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0029457",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.401849",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0456482",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Catherine Rae Glenn, APRN-CNP
• Brittany Glenn, CDCA, QMHS-MA CMS
• Carli Leona Glenn
• Cassidy Jo Glenn, BSN, RN
• Danielle Glenn
• Jacqueline Anne Glenn
• Jakia Glenn
• Jennifer Lynne Glenn, MED, MS, CAGS, NCSP
• Kinnedi Glenn
• Melanie Denise Glenn, QMHS

• Psychiatric/Mental Health Nurse Practitioner in Columbus, OH
• Providers in Columbus, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.

Verify at the official NPI Registry.