Individual provider Active NPI

Karen Glavin, PA-C

  • Physician Assistant
  • Grand Forks, ND
National Provider Identifier
1700868239
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4517-23 Issued in WI
Practice address
3674 S Washington St
Grand Forks, ND 58201-5766
Phone
(701) 205-3000
Fax
(701) 732-2501
NPI assigned
Nov 18, 2005
Last updated
Jan 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4517-23 WI Primary

Addresses

Primary practice location

3674 S Washington St
Grand Forks, ND 58201-5766

Mailing address

PO Box 5210
Grand Forks, ND 58206-5210
Phone (701) 205-3000

Other identifiers 1

IdentifierTypeStateIssuer
291073000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, ND, AK, MN, TX5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20181026001129 WI Practitioner - Physician Assistant 3870696883 Reassigns benefits to 2 organizations
I20251104002857 ND Practitioner - Physician Assistant 3870696883 Reassigns benefits to 1 organization
I20251111001116 AK Practitioner - Physician Assistant 3870696883 Reassigns benefits to 3 organizations
I20251117001664 MN Practitioner - Physician Assistant 3870696883 Reassigns benefits to 1 organization
I20251117002759 TX Practitioner - Physician Assistant 3870696883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peterson Medical Clinics LLCGroup PAC ID 9335412220, 91 clinicians

Practice addresses (Care Compare)

205 E Benson Blvd
Suite 401
Anchorage, AK 99503-4019
Phone (701) 205-3000

3674 S Washington St
Grand Forks, ND 58201-5766
Phone (701) 205-3000

519 Anne St NW
Suite a
Bemidji, MN 56601-4277
Phone (701) 205-3000

5451 Lombardy Dr
Wausau, WI 54401-8041
Phone (701) 205-3000

700 Chief Eddie Hoffman Hwy
Suite 528
Bethel, AK 99559-3427
Phone (907) 545-6928

PO Box
Suite 3427
Bethel, AK 99559-3427

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15595MNMDClinical Social Worker
4517-23WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Sound Health Corporation Physician Assistant CurrentSince Oct 28, 2025 Accepting new patients
Norton Sound Health Corporation CurrentSince Oct 28, 2025 Accepting new patients
Yukon Kuskokwim Health Corporation CurrentSince Oct 28, 2025 Accepting new patients
Norton Sound Health Corporation CurrentSince Oct 28, 2025 Accepting new patients
Yukon-Kuskokwim Health Corporation Physician Assistant Current Accepting new patients
Yukon Kuskokwim Health Corporation CurrentSince Oct 28, 2025 Accepting new patients
Peterson Medical Clinics, LLC CurrentSince Oct 17, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Feb 1, 2026 Accepting new patients
Center for Bone & Joint Surgery of the Palm Beaches, P.a. Past Accepting new patients
South Shore Orthopedics LLC Past Accepting new patients

Locations

205 E Benson Blvd
Ste 401
Anchorage, AK 99503

519 Anne St NW
Ste A
Bemidji, MN 56601
Phone (218) 444-5700

4501 15th Ave SW
Ste 105
Fargo, ND 58103

3674 S Washington St
Grand Forks, ND 58201
Phone (701) 732-2538

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

811 E Washington Ave
Madison, WI 53703
Phone (469) 466-7420

Organizations & group practices 10

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 3

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1700868239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5210",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582065210",
            "telephone_number": "701-205-3000",
            "fax_number": "701-732-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3674 S WASHINGTON ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582015766",
            "telephone_number": "701-205-3000",
            "fax_number": "701-732-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAVIN",
        "first_name": "KAREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "4517-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291073000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.