Active NPI
Judith Kay Glann, ACNP-BC
- Acute Care Nurse Practitioner
- Prescott, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 295295
- Practice address
- 1003 Willow Creek Rd
Prescott, AZ 86301-1641 - Phone
- (928) 773-0003
- Fax
- (928) 773-1170
- NPI assigned
- Jun 8, 2005
- Last updated
- Oct 10, 2025
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 202100603NP-PP | OR | |
| Acute Care Nurse Practitioner | 363LA2100X | AP60271836 | WA | |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | 0387031 | MD | |
| Acute Care Nurse Practitioner | 363LA2100X | 295295 | AZ | Primary |
Addresses
Primary practice location
1003 Willow Creek Rd
Prescott, AZ 86301-1641
Mailing address
PO Box 26335
Prescott Valley, AZ 86312-6335
Phone (206) 556-9828
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134107 | Medicaid | AZ | |
| 1851395743 | Medicaid | WA |
Other names 1
- Judith Glann Mitchell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of California, San Francisco School of Medicine, 1995
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
555 E River Rd
Suite 101
Tucson, AZ 85704-5843
PO Box
Suite 50298
Eugene, OR 97405-0975
PO Box
Suite 967
Flagstaff, AZ 86002-0967
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.17 of 100
- Quality
- 83.77
- Promoting interoperability
- 97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 295295 | AZ | MD | Acute Care Nurse Practitioner |
| 202100603NP-PP | OR | MD | Acute Care Nurse Practitioner |
| AP60271836 | WA | MD | Acute Care Nurse Practitioner |
| 0387031 | MD | MD | Critical Care Medicine Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Sound Inpatient Physicians PLLC | Nurse Practitioner | Current | Accepting new patients |
| South Sound Inpatient Physicians PLLC | Current | Accepting new patients | |
| Critical Care Consultants of Arizona PLLC | Current | Accepting new patients | |
| South Sound Inpatient Physicians PLLC | Current | Accepting new patients | |
| Cogent Healthcare of Washington, PC | Nurse Practitioner | Current | Accepting new patients |
| New Mexico Heart Institute, LLC | Past | Accepting new patients |
Locations
1003 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-2700
202 N Division St
Auburn, WA 98001
Phone (253) 333-2562
16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970
407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000
2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021
Interoperability endpoints
- jglann217731@direct.integrisok.com
Organizations & group practices 7
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Prescott, AZ
- NPI 1811094931
-
dba Sound Inpatient Physicians
- Internal Medicine Physician
- Vancouver, WA
- NPI 1023285756
Nurse Practitioner
-
dba Pima Heart & Vascular
- Cardiac Rehabilitation Registered Nurse
- Sahuarita, AZ
- NPI 1962259812
-
- Internal Medicine Physician
- Vancouver, WA
- NPI 1861430522
Nurse Practitioner
-
dba Sound Inpatient Physicians
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1508023789
-
dba Sound Inpatient Physicians
- Internal Medicine Physician
- Bremerton, WA
- NPI 1831366566
-
- Cardiovascular Disease Physician
- Albuquerque, NM
- NPI 1346242575
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Yavapai Regional Medical Center
- General Acute Care Hospital
- Prescott, AZ
- NPI 1902897820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760054400000",
"number": "1851395743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26335",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863126335",
"telephone_number": "206-556-9828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 WILLOW CREEK RD",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011641",
"telephone_number": "928-773-0003",
"fax_number": "928-773-1170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLANN",
"first_name": "JUDITH",
"middle_name": "KAY",
"credential": "ACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-08",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OR",
"license": "202100603NP-PP",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "WA",
"license": "AP60271836",
"primary": false
},
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "MD",
"license": "0387031",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AZ",
"license": "295295",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134107",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1851395743",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JUDITH",
"last_name": "MITCHELL",
"middle_name": "GLANN",
"credential": "ACNP-BC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.