Active NPI
Bernadette A Glasser, FNP
- Family Nurse Practitioner
- Stevensville, MT
National Provider Identifier
1871504589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 105874
- 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, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4121218 | Other | TN | BLUE CROSS BLUE SHIELD TN |
| 3642632 | Medicaid | TN | |
| 1871504589 | Medicaid | MT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 105874 | MT | MD | Family Nurse Practitioner |
| APN11736 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland Spine & Sport, LLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
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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.