Individual provider Active NPI

Kara Marie Glick

  • Women's Health Nurse Practitioner
  • New Philadelphia, OH
National Provider Identifier
1356037279
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN.CNP.0030240 Issued in OH
Practice address
716 Commercial Ave SW
New Philadelphia, OH 44663-9367
Phone
(330) 343-7605
NPI assigned
Apr 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APRN.CNP.0030240 OH Primary

Addresses

Primary practice location

716 Commercial Ave SW
New Philadelphia, OH 44663-9367

Mailing address

716 Commercial Ave SW
New Philadelphia, OH 44663-9367
Phone (330) 343-7605

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230526001456 OH Practitioner - Nurse Practitioner 8325405830 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proxy Healthcare LLCGroup PAC ID 6507399524, 15 clinicians

Practice addresses (Care Compare)

3570 Executive Dr
Suite 110
Uniontown, OH 44685-8712
Phone (330) 696-9430

Merit-based Incentive Payment System (MIPS)

Final score
62.04 of 100Reported as group
Quality
29.8
Improvement activities
40
Cost
76.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0030240OHMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rejuven Wellness LLC Current Accepting new patients
Proxy Healthcare LLC CurrentSince Nov 16, 2024 Accepting new patients
Pure Healthcare LLC CurrentSince Jan 6, 2024 Accepting new patients

Locations

7575 Paragon Rd
Dayton, OH 45459
Phone (937) 256-4490

2200 Miami Valley Dr
Dayton, OH 45459
Phone (937) 668-7873

3570 Executive Dr
Ste 110
Green, OH 44685
Phone (330) 696-9430

716 Commercial Ave SW
New Philadelphia, OH 44663
Phone (330) 343-7605

1900 Akron Rd
Wooster, OH 44691
Phone (330) 264-4899

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.

NPI Registry JSON

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1356037279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 COMMERCIAL AVE SW",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446639367",
            "telephone_number": "330-343-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 COMMERCIAL AVE SW",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446639367",
            "telephone_number": "330-343-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLICK",
        "first_name": "KARA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "APRN.CNP.0030240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Philadelphia, OH

Sources for this page

Verify at the official NPI Registry.