Individual provider Active NPI

Angela Nichole Glaser, NP

  • Family Nurse Practitioner
  • Fuquay Varina, NC
National Provider Identifier
1396464582
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
GLAS-BU2U5 Issued in NC
Practice address
431 N Judd Pkwy NE
Fuquay Varina, NC 27526-2374
Phone
(919) 552-2292
NPI assigned
Aug 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X GLAS-BU2U5 NC Primary

Addresses

Primary practice location

431 N Judd Pkwy NE
Fuquay Varina, NC 27526-2374

Mailing address

9404 Kennebec Rd
Willow Spring, NC 27592-9413
Phone (618) 420-6040

Other names 1

  • Angela Nichole Williamson Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230825002622 NC Practitioner - Nurse Practitioner 2860860061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fuquay-Varina Family Practice, PAGroup PAC ID 4082646831, 4 clinicians

Practice addresses (Care Compare)

431 N Judd Pkwy NE
Fuquay Varina, NC 27526-2374
Phone (919) 552-2292

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Durham, NC, CCN 347110

Merit-based Incentive Payment System (MIPS)

Final score
21.15 of 100Reported as group
Quality
0
Improvement activities
0
Cost
70.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
GLAS-BU2U5NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fuquay-Varina Family Practice, PA CurrentSince May 29, 2023 Accepting new patients

Locations

431 N Judd Pkwy NE
Fuquay Varina, NC 27526
Phone (919) 552-2292

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1396464582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9404 KENNEBEC RD",
            "city": "WILLOW SPRING",
            "state": "NC",
            "postal_code": "275929413",
            "telephone_number": "618-420-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 N JUDD PKWY NE",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262374",
            "telephone_number": "919-552-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASER",
        "first_name": "ANGELA",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "GLAS-BU2U5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "WILLIAMSON",
            "middle_name": "NICHOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fuquay Varina, NC

Sources for this page

Verify at the official NPI Registry.