Melissa Marie Glass, APRN-FPA

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

277.001920 Issued in IL

Practice address

600 S 13TH St
Pekin, IL 61554-4936

Phone

(309) 347-1151

Fax

(309) 347-6016

NPI assigned

Oct 29, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Melissa M Glass Professional name

Medicare fee-for-service enrollment

Enrolled in IL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mglassaprn397302@carlehiedirect.net

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.

• Carle Health Care Incorporated

  • Internal Medicine Physician
  • Urbana, IL
  • NPI 1154653947

  Multi-Specialty

  Medicare reassignment NPD
• Epss LLC - Central Series

  • Emergency Medicine Physician
  • Pekin, IL
  • NPI 1538680467

  Multi-Specialty

  Medicare reassignment NPD
• Epss Peoria LLC

  • Emergency Medicine Physician
  • Peoria, IL
  • NPI 1831421056

  Multi-Specialty

  Medicare reassignment NPD
• Methodist Medical Center of Illinois

  • Emergency Care Clinic/Center
  • Peoria, IL
  • NPI 1265966048

  Multi-Specialty

  Medicare reassignment NPD
• Methodist Medical Center of Illinois

  • Rehabilitation Hospital Unit
  • Peoria, IL
  • NPI 1982656575

  Multi-Specialty

  Medicare reassignment NPD
• Pekin Memorial Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • Pekin, IL
  • NPI 1245355411

  Multi-Specialty

  Medicare reassignment NPD
• Methodist Medical Center of Illinois

  • General Acute Care Hospital
  • Peoria, IL
  • NPI 1164474755

  Multi-Specialty

  NPD
• Pekin Memorial Hospital

  • General Acute Care Hospital
  • Pekin, IL
  • NPI 1245227479

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1477699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1750833356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 HIGHWOOD AVE",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615546328",
            "telephone_number": "309-275-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S 13TH ST",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615544936",
            "telephone_number": "309-347-1151",
            "fax_number": "309-347-6016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12528 SR 78",
            "address_purpose": "LOCATION",
            "city": "Havana",
            "state": "IL",
            "postal_code": "626446866",
            "country_code": "US",
            "telephone_number": "309-543-4253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLASS",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "APRN-FPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-29",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "IL",
            "license": "277.001921",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277.001920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "GLASS",
            "middle_name": "M",
            "credential": "APRN-FPA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Gateway Professional Services, PC
• Judy C Getz, RD, BS, LD
• Jessica Gheewala, PA-C
• Molly Rose Giamette, MA, LPC
• GK Enterprise LLC
• Brian Glesne, D.M.D
• Kurt Larson Glesne, D.P.M.
• Mark Evan Glesne, DDS
• GNL Merchandising
• Hassan Golchini, MD

• Family Nurse Practitioner in Pekin, IL
• Providers in Pekin, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.