GLEN R STANDAFER (APRN) – Family Nurse Practitioner, NPI 1669759064

GLEN R STANDAFER (APRN) is a healthcare provider. based in Frenchburg, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3007175 (KY). The NPI Number for GLEN R STANDAFER (APRN) is 1669759064

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
GLEN R STANDAFER (APRN)
NPI
1669759064
Phone
(606) 768-2191
Address
732 HIGHWAY 36
Enumeration Date
14 November 2011
Last Update Date
19 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6067433186
Graduation Year
2011 (15 years ago)
PAC ID
1759558059
Group Practice PAC ID
4385035534
Professional Enrollment ID
I20120126000457
Address ID
KY414722049WE476XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:14State licenses:1Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for GLEN R STANDAFER (APRN)

  • 732 HIGHWAY 36

    FRENCHBURG, KY 403228123

    Phone: (606) 768-2191

    Fax: (606) 768-6130

    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: 2012-01-26

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
I20120126000457INurse PractitionerKYTBD

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
99285Emergency department visit with high level of medical decision making184176$0
99284Emergency department visit with moderate level of medical decision making6262$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3433$0
View full utilization report →

Insurance plans in this area (ZIP 40322)

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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: 4385035534View full group profile
NameSpecialtyState
Emergency MedicineKY
Pediatric Medicine, Emergency Medicine, Internal Medicine, Internal MedicineKY
Emergency MedicineOH
Internal Medicine, Emergency MedicineWV
Nurse PractitionerKY
Physician AssistantLA
Nurse PractitionerKY
Nurse PractitionerKY
Internal Medicine, Emergency MedicineKY
Emergency MedicineKY

Reviews

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Frequently asked questions

What identifier follows GLEN R STANDAFER (APRN) across health systems?
The NPI 1669759064 uniquely identifies GLEN R STANDAFER (APRN) in U.S. healthcare data.
Does the public listing show GLEN R STANDAFER (APRN) as active?
GLEN R STANDAFER (APRN)'s NPI record reflects an active status in NPPES.
What does the directory say GLEN R STANDAFER (APRN) does?
Insurance directories may phrase it differently, but here GLEN R STANDAFER (APRN) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to GLEN R STANDAFER (APRN)?
The directory associates GLEN R STANDAFER (APRN) with Frenchburg, Kentucky. Check all listed addresses for suites or satellite offices.
Why is information missing for GLEN R STANDAFER (APRN)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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