Active NPI
Rebecca Rae Glass, AGPCNP-BC
- Nurse Practitioner
- Lakewood, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APN.0996288-NP
- Practice address
- 10165 W 25TH Ave Apt 90
Lakewood, CO 80215-1457 - Phone
- (785) 979-1467
- NPI assigned
- Mar 10, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | APN.0996288-NP | CO | |
| Nurse Practitioner | 363L00000X | APN.0996288-NP | CO | Primary |
Addresses
Primary practice location
10165 W 25TH Ave Apt 90
Lakewood, CO 80215-1457
Mailing address
10165 W 25TH Ave Apt 90
Lakewood, CO 80215-1457
Phone (785) 979-1467
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
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
Practice addresses (Care Compare)
595 Chapel Hills Dr
Suite 303B
Colorado Springs, CO 80920-1022
Phone (719) 922-1002
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.44 of 100
- Quality
- 71.93
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 59.54
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0996288-NP | CO | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MWS Wound Solutions LLC | Current | Accepting new patients | |
| Lykos Medical LLC | Past | Accepting new patients |
Locations
7610 N Union Blvd
Ste 150
Colorado Springs, CO 80920
Phone (719) 434-8810
595 Chapel Hills Dr
Ste 303B
Colorado Springs, CO 80920
Phone (719) 922-1002
Interoperability endpoints
- https://api.platform.athenahealth.com/26269/brand/1/csg/1/fhir/r4
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.
-
- Family Medicine Physician
- Colorado Springs, CO
- NPI 1184482952
-
- Surgery Physician
- Denver, CO
- NPI 1053714584
-
- Family Medicine Physician
- Colorado Springs, CO
- NPI 1215423124
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Abode Home Health of Colorado
- Home Health Agency
- Pueblo, CO
- NPI 1093126781
-
dba Abode Home Health of Colorado
- Home Health Agency
- Colorado Springs, CO
- NPI 1275349813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1417532557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10165 W 25TH AVE APT 90",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802151457",
"telephone_number": "785-979-1467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10165 W 25TH AVE APT 90",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802151457",
"telephone_number": "785-979-1467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASS",
"first_name": "REBECCA",
"middle_name": "RAE",
"credential": "AGPCNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-10",
"last_updated": "2021-03-10",
"certification_date": "2021-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CO",
"license": "APN.0996288-NP",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "APN.0996288-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.