SHARAYAH LYNN GLISSON (FNP-BC) – Otolaryngology Physician, NPI 1497497754

SHARAYAH LYNN GLISSON (FNP-BC) is a healthcare provider. based in Evansville, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 28220602A (IN). The NPI Number for SHARAYAH LYNN GLISSON (FNP-BC) is 1497497754

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
SHARAYAH LYNN GLISSON (FNP-BC)
NPI
1497497754
Phone
(812) 473-2060
Address
1020 PROFESSIONAL BLVD
Enumeration Date
8 April 2022
Last Update Date
30 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8124732060219
Graduation Year
2021 (5 years ago)
PAC ID
5395122246
Group Practice PAC ID
3173516887
Professional Enrollment ID
I20220513001699
Address ID
IN477148014EV1401XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

8,191 NURSE PRACTITIONER in IN

Provider Addresses for SHARAYAH LYNN GLISSON (FNP-BC)

  • 1020 PROFESSIONAL BLVD

    EVANSVILLE, IN 477148009

    Phone: (812) 473-2060

    Fax: (812) 473-0763

    Type: Mailing

  • 1401 PROFESSIONAL BLVD

    EVANSVILLE, IN 477148014

    Phone: (812) 473-2060

    Fax: (812) 473-0763

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $1,138.

Total Amount is formed as General ($1,138) + Research ($0) + Ownership ($0) = $1,138.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($900).

Total Amount

$1,138

General + Research + Ownership

Payments

37

Total payment records

General Amount

$1,138

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: 2022-05-13

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
I20220513001699INurse PractitionerINTBD

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 47714)

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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: 3173516887View full group profile
NameSpecialtyState
Qualified AudiologistIN
O T O L A R Y N G O L O G YIN
-KY
Nurse PractitionerIN
O T O L A R Y N G O L O G YIN
-IN
-IN
O T O L A R Y N G O L O G YIN
O T O L A R Y N G O L O G YKY
Qualified AudiologistIN

Reviews

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Frequently asked questions

How do payers reference SHARAYAH LYNN GLISSON (FNP-BC)?
For SHARAYAH LYNN GLISSON (FNP-BC), use NPI 1497497754 as the unique 10-digit identifier.
Would SHARAYAH LYNN GLISSON (FNP-BC) appear as active to a payer?
You can treat SHARAYAH LYNN GLISSON (FNP-BC) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to SHARAYAH LYNN GLISSON (FNP-BC)?
SHARAYAH LYNN GLISSON (FNP-BC)'s specialty line reads Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with SHARAYAH LYNN GLISSON (FNP-BC)?
Directory geography for SHARAYAH LYNN GLISSON (FNP-BC) centers on Evansville, Indiana.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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