Individual provider Active NPI

Kevin Glancy

  • Nurse Practitioner
  • Richmond, TX
National Provider Identifier
1891243911
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP133458 Issued in TX
Practice address
2100 Preston St
Richmond, TX 77469-1419
Phone
(281) 344-4016
Fax
(281) 344-4606
NPI assigned
Sep 18, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP133458 TX Primary

Addresses

Primary practice location

2100 Preston St
Richmond, TX 77469-1419

Mailing address

2100 Preston St
Richmond, TX 77469-1419
Phone (281) 344-4016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20221214002706 TX Practitioner - Nurse Practitioner 0941679963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health and Human Services CommissionGroup PAC ID 2163795824, 138 clinicians

Practice addresses (Care Compare)

2100 Preston St
Richmond, TX 77469-1419
Phone (281) 344-4208

Hospital & facility affiliations

  • Oakbend Medical Center Hospital, Richmond, TX, CCN 450330

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission Nurse Practitioner CurrentSince Sep 8, 2022 Accepting new patients
Health and Human Services Commission Nurse Practitioner Current Accepting new patients
Health and Human Services Commission CurrentSince Sep 8, 2022 Accepting new patients

Locations

2501 Maple St
Abilene, TX 79602
Phone (325) 692-4053

4001 Highway 36 S
Brenham, TX 77833
Phone (979) 277-1327

2100 Preston St
Richmond, TX 77469
Phone (281) 232-2075

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1474156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1891243911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 PRESTON ST",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774691419",
            "telephone_number": "281-344-4016",
            "fax_number": "281-344-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 PRESTON ST",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774691419",
            "telephone_number": "281-344-4016",
            "fax_number": "281-344-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLANCY",
        "first_name": "KEVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-18",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP133458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.