Active NPI
Traci Joy Glanz, DNP-FNP-C
- Nurse Practitioner
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11007788
- Practice address
- 8260 Gladiolus Dr
Fort Myers, FL 33908-4156 - Phone
- (239) 437-5755
- Fax
- (239) 437-5776
- NPI assigned
- Nov 15, 2017
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704210227 | MI | |
| Nurse Practitioner | 363L00000X | APRN11007788 | FL | Primary |
Addresses
Primary practice location
8260 Gladiolus Dr
Fort Myers, FL 33908-4156
Mailing address
PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 432-8500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Michigan Medical School, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
245 S 2ND St
Carson City, MI 48811-9650
3565 S State Rd
Ionia, MI 48846-9416
Phone (616) 523-1600
401 E Elm St
Carson City, MI 48811-9693
Phone (989) 584-6217
406 E Elm St
Carson City, MI 48811-9693
Hospital & facility affiliations
- Sparrow Ionia Hospital
- University of Michigan Health-Sparrow Carson
- Edward W Sparrow Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11007788 | FL | MD | Nurse Practitioner |
| 4704210227 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparrow Ionia Hospital | Current | Accepting new patients | |
| Florida Cancer Specialists & Research Institute, LLC | Current | Accepting new patients | |
| Sparrow Ionia Hospital | Current | Accepting new patients | |
| Sparrow Ionia Hospital | Current | Accepting new patients | |
| Sparrow Carson Hospital | Current | Accepting new patients | |
| Sparrow Carson Hospital | Current | Accepting new patients | |
| Sparrow Carson Hospital | Current | Accepting new patients |
Locations
8260 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 437-5755
8260 Gladiolus Dr
Fl Cancer
Fort Myers, FL 33908
Phone (239) 437-5755
3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400
4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916
Phone (239) 432-8500
8175 Reliable Pkwy
Chicago, IL 60686
406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131
3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1355
550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Carson City, MI
- NPI 1598490542
-
- Critical Access Hospital
- Ionia, MI
- NPI 1700820065
-
- Medical Oncology Physician
- Cape Coral, FL
- NPI 1760590962
-
- Cardiovascular Disease Physician
- Carson City, MI
- NPI 1063245694
-
- Obstetrics & Gynecology Physician
- Carson City, MI
- NPI 1902153083
-
- Family Medicine Physician
- Ionia, MI
- NPI 1033271143
-
- Emergency Medicine Physician
- Ionia, MI
- NPI 1588747075
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
-
- General Acute Care Hospital
- Carson City, MI
- NPI 1336103043
-
- Critical Access Hospital
- Ionia, MI
- NPI 1700820065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1477066116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 102222",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303682222",
"telephone_number": "239-432-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8260 GLADIOLUS DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339084156",
"telephone_number": "239-437-5755",
"fax_number": "239-437-5776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLANZ",
"first_name": "TRACI",
"middle_name": "JOY",
"credential": "DNP-FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-15",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704210227",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11007788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.