Mara Glantz

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R 180834-0 Issued in MN

Practice address

14071 30TH St N
Stillwater, MN 55082-1319

Phone

(651) 399-9933

NPI assigned

Jul 10, 2009

Last updated

Mar 9, 2026By the provider in NPPES

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 OH

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, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Navita Health Inc

  • Community/Behavioral Health Agency
  • Dublin, OH
  • NPI 1205700473
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1619106689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14071 30TH ST N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550821319",
            "telephone_number": "651-399-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14071 30TH ST N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550821319",
            "telephone_number": "651-399-9933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6479 Reflections Dr Ste 230",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430172366",
            "country_code": "US",
            "telephone_number": "380-266-2377 x99933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLANTZ",
        "first_name": "MARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-10",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R 180834-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Wade Gibson
• Natalie F Gillund, SLP
• Stephanie Oreen Gilquist, LADC
• Kristi Ann Gingras, CST
• Carly Glaeser
• Kim Marie Gleich, MA, LP
• Margaret Elizabeth Glennon, PA-C
• Adam D Goddard, D.O.
• Cynthia G. Goetz, PA-C
• Shannon Lynn Gonnion, P.A.

• Family Nurse Practitioner in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.