MR. GLENN BERDIN (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1154938637

MR. GLENN BERDIN (PMHNP-BC) is a healthcare provider. based in Valencia, California. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 95052689 (CA). The NPI Number for MR. GLENN BERDIN (PMHNP-BC) is 1154938637

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
MR. GLENN BERDIN (PMHNP-BC)
NPI
1154938637
Phone
(661) 200-1083
Address
23845 MCBEAN PKWY
Enumeration Date
28 September 2020
Last Update Date
25 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8187872222
Graduation Year
2023 (3 years ago)
PAC ID
7517306053
Group Practice PAC ID
9931355617
Professional Enrollment ID
I20240417002147
Address ID
CA914024618PA14850BLVD300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for MR. GLENN BERDIN (PMHNP-BC)

  • 23845 MCBEAN PKWY

    VALENCIA, CA 913552083

    Phone: (661) 200-1083

    Fax: (661) 200-1088

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-04-17

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
I20240417002147INurse PractitionerCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91355)

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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: 9931355617View full group profile
NameSpecialtyState
Psychiatry, Sleep MedicineCA
Nurse PractitionerCA
Psychiatry, NeuropsychiatryCA
P S Y C H I A T R YCA
P S Y C H I A T R YHI
Nurse PractitionerCA
Psychiatry, NeuropsychiatryNE
P S Y C H I A T R YCA
P S Y C H I A T R YCA
Neuropsychiatry, PsychiatryIL

Reviews

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Frequently asked questions

How is MR. GLENN BERDIN (PMHNP-BC) identified in CMS data?
CMS-hosted NPPES data lists MR. GLENN BERDIN (PMHNP-BC) with NPI 1154938637.
Can I rely on MR. GLENN BERDIN (PMHNP-BC) being an active provider?
As of the registry snapshot, MR. GLENN BERDIN (PMHNP-BC) is marked active.
What taxonomy line describes MR. GLENN BERDIN (PMHNP-BC)?
For research purposes, treat MR. GLENN BERDIN (PMHNP-BC) as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is MR. GLENN BERDIN (PMHNP-BC) based?
MR. GLENN BERDIN (PMHNP-BC) is tied to Valencia, California in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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