Individual provider Active NPI

Kymm Glenzer, AU.D.

  • Audiologist
  • Edina, MN
National Provider Identifier
1629024567
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
6431 Issued in MN
Practice address
6525 France Ave S
Suite 325
Edina, MN 55435-2148
Phone
(952) 920-4595
Fax
(952) 920-7958
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 6431 MN Primary

Addresses

Primary practice location

6525 France Ave S
Suite 325
Edina, MN 55435-2148

Mailing address

18772 Everest Path
Farmington, MN 55024-7061
Phone (651) 460-2452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060731000055 MN Practitioner - Qualified Audiologist 7618980186 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary ENT, L.L.C.Group PAC ID 1658754015, 7 clinicians

Practice addresses (Care Compare)

14020 Hwy 13 S
Suite 350
Savage, MN 55378-7103
Phone (952) 395-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6431MNMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose & Throat Specialty Care of Minnesota PA CurrentSince Jan 1, 2018 Accepting new patients
Primary ENT, L.L.C. CurrentSince Jan 3, 2023 Accepting new patients

Locations

201 N Victory Dr
Ste 211
Mankato, MN 56001
Phone (507) 387-5581

1057 Madison Ave
Mankato, MN 56001
Phone (507) 386-7502

9550 Upland Ln N
Ste 200
Maple Grove, MN 55369
Phone (612) 871-1144

1560 Beam Ave
Ste C
Maplewood, MN 55109
Phone (651) 777-7837

10995 Club West Pkwy
Ste 400
Minneapolis, MN 55449
Phone (763) 400-4940

7300 France Ave S
Ste 100
Minneapolis, MN 55435
Phone (952) 835-0006

6525 France Ave S
Ste 325
Minneapolis, MN 55435
Phone (952) 920-4595

14020 Highway 13 S
Ste 350
Savage, MN 55378
Phone (952) 395-2500

6099 Wayzata Blvd
Ste 200
St Louis Park, MN 55416
Phone (612) 871-1144

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629024567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18772 EVEREST PATH",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550247061",
            "telephone_number": "651-460-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 FRANCE AVE S",
            "address_2": "SUITE 325",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352148",
            "telephone_number": "952-920-4595",
            "fax_number": "952-920-7958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENZER",
        "first_name": "KYMM",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MN",
            "license": "6431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.