Active NPI
Lisa Anne Glasgow, APNP
- Family Nurse Practitioner
- Eau Claire, WI
National Provider Identifier
1912827155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 17714-33
- Practice address
- 3802 Oakwood Mall Dr
Eau Claire, WI 54701-3016 - Phone
- (715) 839-9280
- Fax
- (715) 229-5551
- NPI assigned
- Jul 17, 2026
- 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 | 17714-33 | WI | Primary |
| Family Nurse Practitioner | 363LF0000X | 189695-30 | WI |
Addresses
Primary practice location
3802 Oakwood Mall Dr
Eau Claire, WI 54701-3016
Mailing address
2403 Folsom St
Eau Claire, WI 54703-2435
Phone (715) 552-9784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1912827155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2403 FOLSOM ST",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547032435",
"telephone_number": "715-552-9784",
"fax_number": "715-835-6370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3802 OAKWOOD MALL DR",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547013016",
"telephone_number": "715-839-9280",
"fax_number": "715-229-5551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASGOW",
"first_name": "LISA",
"middle_name": "ANNE",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-17",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "17714-33",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "189695-30",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.