Individual provider Active NPI

Candace S Glazier, CRNA

  • Certified Registered Nurse Anesthetist
  • Pueblo, CO
National Provider Identifier
1902825227
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
681510 Issued in TX
Practice address
400 W 16TH St
Pueblo, CO 81003-2745
Phone
(707) 256-9085
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 681510 TX Primary

Addresses

Primary practice location

400 W 16TH St
Pueblo, CO 81003-2745

Mailing address

3715 Canfield St Apt 201
Boulder, CO 80301-3189
Phone (707) 256-9085

Other identifiers 3

IdentifierTypeStateIssuer
RN3654610MedicaidCA
86886UOtherTXBCBS OF TEXAS
149531902MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080612000203 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870495922 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2760 29TH St
Suite 1C
Boulder, CO 80301-1214

34827 Rowlock PL
Millsboro, DE 19966-6180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bodhi Infusion Center, LLC CurrentSince Oct 21, 2025 Accepting new patients
Boulder Valley Gastroenterology Inc. CurrentSince May 14, 2024 Accepting new patients
North Denver Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2024 Accepting new patients
Boulder Valley Gastroenterology Inc. CurrentSince May 14, 2024 Accepting new patients
Centers for Gastroenterology CurrentSince Oct 1, 2023 Accepting new patients
St. Helena Hospital Past Accepting new patients
St. Helena Hospital Past Accepting new patients
Macatawa Anesthesia PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Adventist Health Clearlake Hospital Inc. Past Accepting new patients

Locations

1755 48th St
Ste 100
Boulder, CO 80301
Phone (720) 932-7714

2760 29th St
Ste 1C
Boulder, CO 80301
Phone (303) 915-1698

1755 48th St
Boulder, CO 80301
Phone (303) 494-5263

3702 S Timberline Rd
Ste A
Fort Collins, CO 80525
Phone (970) 207-9773

1000 W South Boulder Rd
Ste 200
Lafayette, CO 80026
Phone (303) 604-4664

13952 Denver West Pkwy
Lakewood, CO 80401
Phone (303) 271-1112

382 S Arthur Ave
Louisville, CO 80027

2555 E 13th St
Ste 220
Loveland, CO 80537
Phone (970) 669-5432

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1902825227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 CANFIELD ST APT 201",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013189",
            "telephone_number": "707-256-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 16TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032745",
            "telephone_number": "707-256-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZIER",
        "first_name": "CANDACE",
        "middle_name": "S",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "681510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN3654610",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "86886U",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149531902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.