BRIAN GLASS (FNP) – Family Nurse Practitioner, NPI 1396176202

BRIAN GLASS (FNP) is a healthcare provider. based in Crescent city, California. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. NP95005781 (CA). The NPI Number for BRIAN GLASS (FNP) is 1396176202

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN GLASS (FNP)
NPI
1396176202
Phone
(707) 460-1802
Address
515 E WASHINGTON BLVD
Enumeration Date
2 December 2013
Last Update Date
3 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7074601802
Graduation Year
2016 (10 years ago)
PAC ID
4486920279
Group Practice PAC ID
6406283845
Professional Enrollment ID
I20250501000430
Address ID
CA955318342CR515XXBLVD400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for BRIAN GLASS (FNP)

  • 515 E WASHINGTON BLVD

    CRESCENT CITY, CA 955318342

    Phone: (707) 460-1802

    Type: Mailing

  • 694 W WEIMAR CROSS RD

    COLFAX, CA 957139755

    Phone: (559) 797-0232

    Type: Mailing

  • 20601 WEST PAOLI LANE

    WEIMAR CALIFORNIA, CA 957369755

    Phone: (530) 637-4025

    Type: Mailing

  • 20601 W. PAOLI LANE

    WEIMAR, CA 95736

    Phone: (559) 797-0232

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-01-21 • Largest payer in this snapshot: IDORSIA PHARMACEUTICALS US INC ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-21

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: 2025-05-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20171023001942INurse PractitionerCATBD
I20250501000430INurse PractitionerWVTBD

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 95531)

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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: 6406283845View full group profile
NameSpecialtyState
Nurse PractitionerWV
Nurse PractitionerFL
Physician AssistantCA
Nurse PractitionerNV
Physician AssistantCA
Clinical Social WorkerCA
Family PracticeNM
P O D I A T R YCA
Physician AssistantCA
Nurse PractitionerNM

Reviews

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Frequently asked questions

What is BRIAN GLASS (FNP)'s NPI number?
BRIAN GLASS (FNP)'s NPI is 1396176202 — the number used across U.S. healthcare to identify this provider.
Is BRIAN GLASS (FNP) shown as active in public data?
Registry records indicate BRIAN GLASS (FNP) maintains an active NPI.
What clinical focus is listed for BRIAN GLASS (FNP)?
At a glance, BRIAN GLASS (FNP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BRIAN GLASS (FNP)?
Travel planning: use Crescent City, California as the reference point for BRIAN GLASS (FNP), then confirm.
Can I trust this NPI listing for BRIAN GLASS (FNP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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