Alexis Lynn Glomski, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

78216 Issued in MN

Practice address

14241 Grand Oaks Dr
Baxter, MN 56425-8749

Phone

(218) 316-3101

NPI assigned

Mar 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Community Behavioral Health Hospital-Baxter

  • Psychiatric Hospital
  • Baxter, MN
  • NPI 1487715033
  Medicare reassignment NPD

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

{
    "created_epoch": "1553385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1326508474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14241 GRAND OAKS DR",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258749",
            "telephone_number": "218-316-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14241 GRAND OAKS DR",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258749",
            "telephone_number": "218-316-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOMSKI",
        "first_name": "ALEXIS",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-24",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "78216",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "34.0164712",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Leigh Gildart
• Allison C Gildner
• Savanna Rene Gill
• Gillette Children'S Specialty Healthcare
• Jody Ann Giza, PA-C
• Joshua Goemaat
• Laura Anne Goll
• Good Neighbor Home Health Care of Brainerd, Inc.
• Good Neighbor Resources, Inc.
• Grand St Paul CVS LLC

• Psychiatry Physician in Baxter, MN
• Providers in Baxter, MN by specialty
• Psychiatry Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.