MR. ALAN RICHARD GLATZ (N.P.) – Nurse Practitioner, NPI 1417187659

MR. ALAN RICHARD GLATZ (N.P.) is a healthcare provider. based in Bloomington, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. 041327580 (IL). The NPI Number for MR. ALAN RICHARD GLATZ (N.P.) is 1417187659

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
MR. ALAN RICHARD GLATZ (N.P.)
NPI
1417187659
Phone
(309) 664-3160
Address
1701 E COLLEGE AVE
Enumeration Date
22 July 2009
Last Update Date
6 October 2020

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
-
Graduation Year
2009 (17 years ago)
PAC ID
8820136542
Group Practice PAC ID
5991989477
Professional Enrollment ID
I20091117000319
Address ID
IL617013514BL1401XBXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for MR. ALAN RICHARD GLATZ (N.P.)

  • 1701, East College Avenue, Bloomington, McLean County, Illinois, 61704, United States

    BLOOMINGTON, IL 617042101

    Phone: (309) 664-3160

    Fax: (309) 664-3344

    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)

CMS reports 53 Open Payments records for all available years, with a total value of $1,035.

Total Amount is formed as General ($1,035) + Research ($0) + Ownership ($0) = $1,035.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($260).

Total Amount

$1,035

General + Research + Ownership

Payments

53

Total payment records

General Amount

$1,035

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2009-11-17

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
I20091117000319INurse PractitionerILTBD

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
99284Emergency department visit with moderate level of medical decision making9088$0
99283Emergency department visit with low level of medical decision making4141$0
99285Emergency department visit with high level of medical decision making3937$0
View full utilization report →

Insurance plans in this area (ZIP 61704)

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Provider's Procedures

MR. ALAN RICHARD GLATZ (N.P.) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERIL51798Ultrasound measurement of bladder capacity after voiding7873

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: 5991989477View full group profile
NameSpecialtyState
U R O L O G YIL
G A S T R O E N T E R O L O G YIL
Certified Registered Nurse Anesthetist (Crna)IN
Certified Registered Nurse Anesthetist (Crna)IL
Nurse PractitionerIL
Nurse PractitionerIL
U R O L O G YIL
U R O L O G YCO

Reviews

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Frequently asked questions

What number should I use to identify MR. ALAN RICHARD GLATZ (N.P.) for billing?
Administrative and clinical systems typically use NPI 1417187659 for MR. ALAN RICHARD GLATZ (N.P.).
Should I treat MR. ALAN RICHARD GLATZ (N.P.) as an active provider?
Patients and plans typically see MR. ALAN RICHARD GLATZ (N.P.) as active in the national extract.
What services align with MR. ALAN RICHARD GLATZ (N.P.)'s listing?
MR. ALAN RICHARD GLATZ (N.P.)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MR. ALAN RICHARD GLATZ (N.P.) tied to Bloomington, Illinois?
If you are local to Bloomington, Illinois, MR. ALAN RICHARD GLATZ (N.P.) may be relevant to your search.
Who maintains MR. ALAN RICHARD GLATZ (N.P.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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