Holly Marie Glanville, NP
Individual provider Active NPI Family Nurse Practitioner · Arcadia, WI
NPI 1750779013 · NPPES record last updated Sep 10, 2026
Key facts
- NPI
- 1750779013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 6154 (WI)
- Practice address
- 625 W Main St
Arcadia, WI 54612-1227 - Phone
- (608) 323-3210
- NPI assigned
- Jan 8, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150306001260 | WI | Practitioner - Nurse Practitioner | 3072839109 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 163555 | WI | MD | Registered Nurse |
| 6154 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gundersen Clinic LTD | Current |
Accepting new patients | |
| Gundersen Lutheran Express Care, Inc | Current |
Accepting new patients | |
| Gundersen Clinic, LTD. | Past | Accepting new patients |
Locations
464 S Saint Joseph Ave
Arcadia, WI 54612
Phone (608) 323-3341
625 W Main St
Arcadia, WI 54612
Phone (608) 323-3210
1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102
1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681
Interoperability endpoints
- hglanville82158@direct.emplifyhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 163555 | WI | |
| Family Nurse Practitioner | 363LF0000X | 6154 | WI | Yes |
Addresses
Primary practice location
625 W Main St
Arcadia, WI 54612-1227
Mailing address
1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300
Other providers in Arcadia, WI
- County of Trempealeau
- Kim M Davis-Rislove
- Kaitlin S. Earley
- Christopher Ferstenou
- Capri Mara Fillmore
- Mary A. Green
- Gundersen Clinic LTD
- Gundersen Clinic LTD
- Gundersen Clinic LTD
- Gundersen Clinic, LTD.
All providers in Arcadia, WI · Family Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.