GLENN M JR. LITTLE (PA) – Physician Assistant, NPI 1396727152

GLENN M JR. LITTLE (PA) is a healthcare provider. based in Eielson afb, Alaska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA9111517 (FL). The NPI Number for GLENN M JR. LITTLE (PA) is 1396727152

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
GLENN M JR. LITTLE (PA)
NPI
1396727152
Phone
(907) 377-6560
Address
2630 CENTRAL AVE STE 1
Enumeration Date
17 November 2005
Last Update Date
13 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8138444300
Graduation Year
2005 (21 years ago)
PAC ID
3476927534
Group Practice PAC ID
7416253828
Professional Enrollment ID
I20230313002978
Address ID
FL335114849BR214XXRDXX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

551 PHYSICIAN ASSISTANT in AK

Provider Addresses for GLENN M JR. LITTLE (PA)

  • 2630 CENTRAL AVE STE 1

    EIELSON AFB, AK 997022301

    Phone: (907) 377-6560

    Type: Mailing

  • 11420 N 56TH ST

    TEMPLE TERRACE, FL 336172237

    Phone: (813) 971-3136

    Fax: (813) 910-3569

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 49 Open Payments records for all available years, with a total value of $1,019.

Total Amount is formed as General ($1,019) + Research ($0) + Ownership ($0) = $1,019.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Novo Nordisk Inc ($265).

Total Amount

$1,019

General + Research + Ownership

Payments

49

Total payment records

General Amount

$1,019

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-03-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230313002978IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4635$0
99214Established patient office or other outpatient visit, 30-39 minutes1615$0
View full utilization report →

Insurance plans in this area (ZIP 99702)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416253828View full group profile

Reviews

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Frequently asked questions

What number should I use to identify GLENN M JR. LITTLE (PA) for billing?
Administrative and clinical systems typically use NPI 1396727152 for GLENN M JR. LITTLE (PA).
Does the public listing show GLENN M JR. LITTLE (PA) as active?
GLENN M JR. LITTLE (PA)'s NPI record reflects an active status in NPPES.
What services align with GLENN M JR. LITTLE (PA)'s listing?
GLENN M JR. LITTLE (PA)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to GLENN M JR. LITTLE (PA)?
The directory associates GLENN M JR. LITTLE (PA) with Eielson Afb, Alaska. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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