Individual provider Active NPI

Edward Julian Glaesner, FNP

  • Family Nurse Practitioner
  • Fuquay Varina, NC
National Provider Identifier
1518936426
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201867 Issued in NC
Practice address
1617 N Main St Ste 100
Fuquay Varina, NC 27526-9021
Phone
(919) 577-9952
Fax
(919) 577-9946
NPI assigned
Mar 14, 2006
Last updated
Mar 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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 201867 NC Primary

Addresses

Primary practice location

1617 N Main St Ste 100
Fuquay Varina, NC 27526-9021

Mailing address

1617 N Main St Ste 100
Fuquay Varina, NC 27526-9021
Phone (919) 577-9952

Other identifiers 1

IdentifierTypeStateIssuer
201867OtherNCNC LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address edward.glaesner@unchealth.unc.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, ME, NM3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050824000787 NC Practitioner - Nurse Practitioner 9133150626 Reassigns benefits to 1 organization
I20250521000133 ME Practitioner - Nurse Practitioner 9133150626
I20260327001486 NM Practitioner - Nurse Practitioner 9133150626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of North Carolina at Chapel Hill School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Northern New MexicoGroup PAC ID 1557354339, 14 clinicians
Healthreach Community Health CentersGroup PAC ID 5496726523, shared by 12 NPIs, 87 clinicians

Practice addresses (Care Compare)

3917 W Rd
Suite a
Los Alamos, NM 87544-2292
Phone (505) 661-8900

4 Clement Way
Belgrade, ME 04917-4370
Phone (207) 660-9924

42 Dallas Hill Rd
Rangeley, ME 04970-0569

PO Box
Rangeley, ME 04970

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201867NCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC CurrentSince Sep 22, 2015 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
David Paul Adams, M.D., P.a. Past Accepting new patients
Healthreach Community Health Centers Past Accepting new patients
Carolina Express Care Past Accepting new patients

Locations

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

1006 Procure St
Ste 100
Fuquay Varina, NC 27526
Phone (919) 577-9952

1617 N Main St
#100
Fuquay Varina, NC 27526
Phone (919) 577-9952

2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624

Interoperability endpoints

  • Direct secure messaging: eglaesner101060@direct.unc.nchie.net
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73144

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1518936426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 N MAIN ST STE 100",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275269021",
            "telephone_number": "919-577-9952",
            "fax_number": "919-577-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 N MAIN ST STE 100",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275269021",
            "telephone_number": "919-577-9952",
            "fax_number": "919-577-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAESNER",
        "first_name": "EDWARD",
        "middle_name": "JULIAN",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSE",
            "identifier": "201867",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edward.glaesner@unchealth.unc.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1617 N Main St Ste 100",
            "city": "Fuquay Varina",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275269021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

Verify at the official NPI Registry.