Active NPI
Mandy Wilson Glikas, DNP, FNP
- Family Nurse Practitioner
- Lubbock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP112973
- Practice address
- 5202 82ND St
Lubbock, TX 79424-2823 - Phone
- (806) 725-7337
- NPI assigned
- Oct 18, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201150038NP | OR | |
| Family Nurse Practitioner | 363LF0000X | AP112973 | TX | Primary |
Addresses
Primary practice location
5202 82ND St
Lubbock, TX 79424-2823
Mailing address
2215 Nashville Ave
Lubbock, TX 79410-1105
Phone (806) 725-5228
Other practice location 1
19761 Beavercreek Rd
Oregon City, OR 97045-9557
Phone (503) 785-8770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5202 82ND St
Lubbock, TX 79424-2823
Phone (806) 725-7337
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Covenant Medical Group | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Covenant Medical Group | Current | Accepting new patients | |
| Utmb Faculty Group Practice | Past | Accepting new patients | |
| Clackamas County | Past | Accepting new patients | |
| Jeffrey D Rettig DO PA | Past | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Past | Accepting new patients |
Locations
2215 Nashville Ave
Lubbock, TX 79410
Phone (806) 725-5228
5202 82nd St
Lubbock, TX 79424
Phone (806) 701-5265
4000 24th St
#410
Lubbock, TX 79410
Phone (806) 743-7700
3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000
Organizations & group practices 11
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.
-
- Family Medicine Physician
- Lubbock, TX
- NPI 1376598904
-
- Anatomic Pathology Physician
- Lubbock, TX
- NPI 1063461358
-
- Rural Health Clinic/Center
- Abernathy, TX
- NPI 1538412895
-
- Durable Medical Equipment & Medical Supplies
- Lubbock, TX
- NPI 1053458026
-
- Family Medicine Physician
- Lubbock, TX
- NPI 1083663363
-
- Neurology Physician
- Lubbock, TX
- NPI 1518916808
-
- Psychiatry Physician
- Lubbock, TX
- NPI 1881643179
-
- Family Medicine Physician
- Groesbeck, TX
- NPI 1063680619
-
- Anesthesiology Physician
- Lubbock, TX
- NPI 1306894175
-
- General Practice Physician
- Galveston, TX
- NPI 1942241146
-
- Federally Qualified Health Center (FQHC)
- Oregon City, OR
- NPI 1720017809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1700967437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2215 NASHVILLE AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101105",
"telephone_number": "806-725-5228",
"fax_number": "806-723-6532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5202 82ND ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794242823",
"telephone_number": "806-725-7337"
}
],
"practiceLocations": [
{
"address_1": "19761 Beavercreek Rd",
"address_purpose": "LOCATION",
"city": "Oregon City",
"state": "OR",
"postal_code": "970459557",
"country_code": "US",
"telephone_number": "503-785-8770",
"fax_number": "503-785-8543",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLIKAS",
"first_name": "MANDY",
"middle_name": "WILSON",
"credential": "DNP, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201150038NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP112973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.