Active NPI
Nicole Marie Glischinski, PA-C
- Medical Physician Assistant
- Parker, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2379
- Practice address
- 9399 Crown Crest Blvd
Suite 400
Parker, CO 80138-8506 - Phone
- (303) 840-1472
- Fax
- (303) 840-1473
- NPI assigned
- Apr 30, 2008
- Last updated
- Jun 13, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2379 | CO | Primary |
Addresses
Primary practice location
9399 Crown Crest Blvd
Suite 400
Parker, CO 80138-8506
Mailing address
151 Southhall LN
Ste 300
Maitland, FL 32751-7172
Phone (407) 875-2080
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
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 Poudre River Dr
Unit a
Fort Collins, CO 80524-3557
Phone (970) 484-3050
9399 Crown Crest Blvd
Suite 400
Parker, CO 80138-8540
Phone (720) 343-2103
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.78 of 100
- Quality
- 80
- Promoting interoperability
- 84
- Improvement activities
- 40
- Cost
- 75.92
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2379 | CO | MD | Optometrist |
Organizations & group practices 1
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.
-
- Dermatology Physician
- Fort Collins, CO
- NPI 1710370648
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Breast Care Center Southlands
- General Acute Care Hospital
- Aurora, CO
- NPI 1083461438
-
dba Southlands Breast Care & Therapy Center
- General Acute Care Hospital
- Aurora, CO
- NPI 1265072706
-
dba Adventhealth Parker
- General Acute Care Hospital
- Parker, CO
- NPI 1386651297
-
dba Adventhealth Sports Med & Rehab Meridian
- General Acute Care Hospital
- Parker, CO
- NPI 1457148140
-
dba Southlands Emergency/Urgent Care
- General Acute Care Hospital
- Aurora, CO
- NPI 1740820356
-
dba Southlands Breast Care & Therapy Center
- General Acute Care Hospital
- Aurora, CO
- NPI 1922648534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560384000000",
"number": "1639345648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 SOUTHHALL LN",
"address_2": "STE 300",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517172",
"telephone_number": "407-875-2080",
"fax_number": "407-650-3455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9399 CROWN CREST BLVD",
"address_2": "SUITE 400",
"city": "PARKER",
"state": "CO",
"postal_code": "801388506",
"telephone_number": "303-840-1472",
"fax_number": "303-840-1473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLISCHINSKI",
"first_name": "NICOLE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-30",
"last_updated": "2019-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "2379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parker, CO
- Glaucoma Consultants of Colorado, PC
- Glaucoma Consultants of Colorado, PC (Insight Vision Group)
- Glaucoma Consultants of Colorado, PC (Insight Vision Group)
- GLD Corp
- Elizabeth Y Gleyzer-Reyn, PHARMD
- Katherine Fields Glist, M.A., L.P.C.
- Kelsey Gloyd, MS, SLP-CF
- Kegan Godbey, RN
- Michael Scott Godsey, D.C.
- April D Goggans, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.