Kathleen Anne Glass, DNP, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5015783 Issued in NC

Practice address

2001 S Main St
Wake Forest, NC 27587-1649

Phone

(919) 350-0365

NPI assigned

Feb 15, 2022

Last updated

Feb 15, 2022By the provider in NPPES

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hoke Emergency Group, PCGroup PAC ID 7214200146, 44 clinicians

Raleigh Emergency Medicine Associates IncGroup PAC ID 9537067343, 26 clinicians

Columbus Emergency Group LLCGroup PAC ID 2961560446, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Columbus Regional Healthcare System Hospital, Whiteville, NC, CCN 340068

Merit-based Incentive Payment System (MIPS)

Final score

92.66 of 100Reported as group

Quality

86.13

Improvement activities

40

Cost

79.44

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
• Direct secure messaging: kglass101308@capefearvalley.direct-ci.com

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.

• Columbus Emergency Group LLC

  • Emergency Medicine Physician
  • Whiteville, NC
  • NPI 1588813786

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Hoke Emergency Group, PC

  • Emergency Medicine Physician
  • Raeford, NC
  • NPI 1003337528

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Raleigh Emergency Medicine Associates Inc

  • Emergency Medicine Physician
  • Raleigh, NC
  • NPI 1790736973
  Medicare reassignment Care Compare group NPD
• Bull City Physicians, PLLC

  • Emergency Medicine Physician
  • Henderson, NC
  • NPI 1770004285
  Medicare reassignment NPD
• Gem Capital Physicians, PLLC

  • Emergency Medicine Physician
  • Louisburg, NC
  • NPI 1225524598
  Medicare reassignment NPD
• Wake Specialty Physicians LLC

  dba WakeMed MyCare 365 Primary & Urgent Care Morrisville

  • Family Medicine Physician
  • Morrisville, NC
  • NPI 1174491138
  NPD (past)

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

• Columbus Regional Healthcare System

  dba South Columbus Medical Clinic

  • General Acute Care Hospital
  • Whiteville, NC
  • NPI 1376537555
  Care Compare affiliation

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1336894609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 MOUNT VERNON CHURCH RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147154",
            "telephone_number": "717-494-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S MAIN ST",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275871649",
            "telephone_number": "919-350-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "KATHLEEN",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5015783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA BOARD OF NURSING",
            "identifier": "5015783",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aglass@wakemed.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "None",
            "address_1": "2001 S Main St",
            "city": "Wake Forest",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275871649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mackenzie Catharine Gibbon, OTR/L
• Samantha Gibbons
• Jenine Nicole Giles, D.D.S
• Catherine N Gitau
• Jason Thomas Gladwell, D.D.S., M.S.D.
• Allison Glorius, M.S., CCC-SLP
• Cheryl Godwin
• Robin Nicole Godwin, FNP
• Justin Michael Goehl, DC
• Norman J Goldbach, MD

• Nurse Practitioner in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.