Ashley Glaza, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704307061 Issued in MI

Practice address

3041 Commerce Dr Ste B
Fort Gratiot, MI 48059-3877

Phone

(810) 432-0500

Fax

(810) 432-0501

NPI assigned

Apr 19, 2021

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

Medicare fee-for-service enrollment

Enrolled in MI

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Horizon Family Medicine PLLCGroup PAC ID 9830524941, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beacon Home Care Home health agency, Port Huron, MI, CCN 237440
• Lake Huron Medical Center Hospital, Port Huron, MI, CCN 230031
• McLaren Port Huron Hospital, Port Huron, MI, CCN 230216

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jacqueline.beauregard.p1@direct.porthuronheartcenter.nextgenshare.com

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.

• Horizon Family Medicine PLLC

  • Family Medicine Physician
  • Fort Gratiot, MI
  • NPI 1427693761
  Medicare reassignment Care Compare group NPD
• Cardiology Assoc of Port Huron

  • Cardiovascular Disease Physician
  • Port Huron, MI
  • NPI 1033198593
  Medicare reassignment NPD

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

• Beacon Home Care, LLC

  • Home Health Agency
  • Port Huron, MI
  • NPI 1871542100
  Care Compare affiliation
• McLaren Port Huron

  • General Acute Care Hospital
  • Port Huron, MI
  • NPI 1982685384
  Care Compare affiliation
• Prime Healthcare Services-Port Huron LLC

  • General Acute Care Hospital
  • Port Huron, MI
  • NPI 1306227764
  Care Compare affiliation

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1366023681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 COMMERCE DR STE B",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480593877",
            "telephone_number": "810-432-0500",
            "fax_number": "810-432-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 COMMERCE DR STE B",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480593877",
            "telephone_number": "810-432-0500",
            "fax_number": "810-432-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZA",
        "first_name": "ASHLEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704307061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Nicole Geiser, PNP
• Jillian J Gembinski
• Denise R Gibson
• James Patrick Gilan, LMSW, MSW
• Jenny Giles, PAC
• Nicole Glodich
• Shyla Rose Godsey
• Julia Marie Gouin
• Brandi Gourlay
• Donald G Grenstiner, CRNA

• Family Nurse Practitioner in Fort Gratiot, MI
• Providers in Fort Gratiot, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.