Renee Glover, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

34013 Issued in NC

Practice address

2518 S Croatan Hwy Ste B
Nags Head, NC 27959-8994

Phone

(252) 441-7546

Fax

(252) 441-4151

NPI assigned

Jun 13, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

DermatologyAlso: Pathology

Education

Duke University School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Outer Banks DermatologyGroup PAC ID 3476617614, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Outer Banks Dermatology

  • Dermatology Physician
  • Nags Head, NC
  • NPI 1912143462
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1699779124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 S CROATAN HWY STE B",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279598994",
            "telephone_number": "252-441-7546",
            "fax_number": "252-441-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2518 S CROATAN HWY STE B",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279598994",
            "telephone_number": "252-441-7546",
            "fax_number": "252-441-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "RENEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "34013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8936026",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "36026",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Francis Ausband DDS
• Sheena Berry Fuller, PH.D.
• Trudie Gardner, PA-C
• Nicholas David Gatto, NP
• Sarah Ann Gist
• Angela Goetsch, OTR/L
• Jennifer Hudson Goscinski, MSW, LCSW
• Jonelle Ulep Haigh, D.O.
• Christine Bui Hall, D.C.
• Jaclyn Eva Hall, RDN, LDN

• Specialist in Nags Head, NC
• Providers in Nags Head, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.