Individual provider Active NPI

Amanda Glasenapp

  • Physician Assistant
  • Durham, NC
National Provider Identifier
1992675516
Registry record updated Nov 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1010 Stillwell Dr Unit 2204
Durham, NC 27707-6274
Phone
(763) 337-2081
NPI assigned
Nov 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NC Primary

Addresses

Primary practice location

1010 Stillwell Dr Unit 2204
Durham, NC 27707-6274

Mailing address

1010 Stillwell Dr Unit 2204
Durham, NC 27707-6274
Phone (763) 337-2081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20260326000109 NC Practitioner - Physician Assistant 8921583139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of North Carolina at Chapel Hill School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Carolina Family Practice PAGroup PAC ID 6901985688, 5 clinicians

Practice addresses (Care Compare)

600 S Church St
Hertford, NC 27944-1205
Phone (252) 368-4510

Hospital & facility affiliations

  • Sentara Albemarle Medical Center Hospital, Elizabeth City, NC, CCN 340109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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 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": "1762560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762560000000",
    "number": "1992675516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 STILLWELL DR UNIT 2204",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076274",
            "telephone_number": "763-337-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 STILLWELL DR UNIT 2204",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076274",
            "telephone_number": "763-337-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASENAPP",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-08",
        "last_updated": "2025-11-08",
        "certification_date": "2025-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.