JACI R GLASS (NP) – Adult Health Nurse Practitioner, NPI 1326320656
Adult Health Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
Provider Addresses for JACI R GLASS (NP)
6890 COLLISI PL
BROWNSBURG, IN 461129134
Phone: (317) 835-1370
Type: Mailing
1199 Hadley Rd Ste 100
Mooresville, IN 461581788
Phone: (317) 834-3263
Fax: (317) 834-5194
Type: Location
1701 N Senate Blvd
Indianapolis, IN 462021239
Phone: (317) 962-8776
Fax: (317) 963-5285
Type: Location
1300 W JEFFERSON
SUITE C
FRANKLIN, IN 461319121
Phone: (317) 736-8474
Fax: (317) 736-6040
Type: Mailing
1801 N SENATE BLVD
STE 310
INDIANAPOLIS, IN 462021228
Phone: (317) 736-8474
Fax: (317) 736-6040
Type: Location
PO BOX 781076
DETROIT, MI 482781076
Phone: (317) 528-4800
Type: Mailing
1201 HADLEY RD
MOORESVILLE, IN 461581737
Phone: (317) 834-3263
Fax: (317) 834-5194
Type: Location
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: 2011-10-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111013000124 | I | Nurse Practitioner | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 52 | 52 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 33 | 22 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 19 | 16 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 46112)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | IN | |
| Family Practice, Sports Medicine | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| Family Practice | IN | |
| - | IN | |
| - | CT | |
| - | IN |
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