Active NPI
Samantha Glass, PHD LP
- Clinical Neuropsychologist
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- LP5378
- Practice address
- 280 Smith Ave N Ste 450
Saint Paul, MN 55102-2481 - Phone
- (651) 241-5959
- NPI assigned
- May 20, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | LP5378 | MN | Primary |
Addresses
Primary practice location
280 Smith Ave N Ste 450
Saint Paul, MN 55102-2481
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Other practice location 1
701 Park Ave # G8
Minneapolis, MN 55415-1623
Phone (612) 873-9936
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sglass659976@excellian.direct.allina.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110823001050 | MN | Practitioner - Clinical Psychologist | 1850561135 | Reassigns benefits to 6 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allina Health System
Practice addresses (Care Compare)
280 Smith Ave N
Suite 450
St Paul, MN 55102-2481
Phone (651) 241-5959
Hospital & facility affiliations
- Allina United Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.63 of 100
- Quality
- 75.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.75
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.68 of 100
- Quality
- 89.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.99
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current | Accepting new patients | |
| Healtheast Woodwinds Hospital | Current | Accepting new patients | |
| Healtheast Care System | Current | Accepting new patients | |
| Fairview Bethesda Hospital | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Clinical Neuropsychologist | Current | Accepting new patients |
| Healtheast St. John'S Hospital | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients |
Locations
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
606 24th Ave S
Ste 600
Minneapolis, MN 55454
Phone (612) 273-5400
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002
280 Smith Ave N
Ste 450
Saint Paul, MN 55102
Phone (651) 241-5959
559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000
1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100
Interoperability endpoints
- sglass659976@excellian.direct.allina.com
Organizations & group practices 12
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.
-
- Clinic/Center
- Shakopee, MN
- NPI 1013213461
-
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
- Pain Clinic/Center
- Minneapolis, MN
- NPI 1457397150
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- Home Health Agency
- Saint Paul, MN
- NPI 1548595218
-
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1508191552
Clinical Neuropsychologist
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Paul, MN
- NPI 1265474704
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1780977934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 CHICAGO AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 SMITH AVE N STE 450",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551022481",
"telephone_number": "651-241-5959"
}
],
"practiceLocations": [
{
"address_1": "701 Park Ave # G8",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554151623",
"country_code": "US",
"telephone_number": "612-873-9936",
"fax_number": "612-873-1670",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLASS",
"first_name": "SAMANTHA",
"credential": "PHD LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-20",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MN",
"license": "LP5378",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sglass659976@excellian.direct.allina.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "280 Smith Ave N Ste 450",
"city": "Saint Paul",
"state": "MN",
"country_code": "US",
"postal_code": "551022481",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.