Individual provider Active NPI

Bernadette A Glasser, FNP

  • Family Nurse Practitioner
  • Stevensville, MT
National Provider Identifier
1871504589
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
105874 Issued in MT
Practice address
3800 Eastside Hwy
Stevensville, MT 59870-2224
Phone
(406) 777-2775
Fax
(406) 777-2796
NPI assigned
Aug 10, 2006
Last updated
Feb 1, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN11736 TN
Family Nurse Practitioner 363LF0000X 105874 MT Primary

Addresses

Primary practice location

3800 Eastside Hwy
Stevensville, MT 59870-2224

Mailing address

3800 Eastside Hwy
Stevensville, MT 59870-2224
Phone (406) 777-2775

Other identifiers 3

IdentifierTypeStateIssuer
4121218OtherTNBLUE CROSS BLUE SHIELD TN
3642632MedicaidTN
1871504589MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
105874MTMDFamily Nurse Practitioner
APN11736TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Spine & Sport, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bglasser@direct.communitymed.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1871504589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 EASTSIDE HWY",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598702224",
            "telephone_number": "406-777-2775",
            "fax_number": "406-777-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 EASTSIDE HWY",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598702224",
            "telephone_number": "406-777-2775",
            "fax_number": "406-777-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASSER",
        "first_name": "BERNADETTE",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN11736",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "105874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TN",
            "identifier": "4121218",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3642632",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871504589",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevensville, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.