PATRICIA E GLYNN – Nurse Practitioner, NPI 1124092606

PATRICIA E GLYNN is a healthcare provider. based in Milton, Massachusetts. specializing in NURSE PRACTITIONER. They hold a License No. 161360 (MA). The NPI Number for PATRICIA E GLYNN is 1124092606

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
PATRICIA E GLYNN
NPI
1124092606
Phone
(617) 696-2434
Address
100 HIGHLAND ST
Enumeration Date
14 February 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6177548612
Graduation Year
1991 (35 years ago)
PAC ID
3870560444
Group Practice PAC ID
4486567104
Professional Enrollment ID
I20040913001380
Address ID
MA022155400BO330XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

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Provider Addresses for PATRICIA E GLYNN

  • 100, Highland Street, Milton Center, Milton, Norfolk County, Massachusetts, 02126, United States

    STE 205

    MILTON, MA 02186

    Phone: (617) 696-2434

    Fax: (617) 696-2435

    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: 2004-09-13

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
I20040913001380INurse PractitionerMATBD

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
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination3232$0
View full utilization report →

Insurance plans in this area (ZIP 02186)

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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: 4486567104View full group profile

Reviews

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Frequently asked questions

What federal number belongs to PATRICIA E GLYNN?
The federal identifier for PATRICIA E GLYNN is NPI 1124092606.
Is PATRICIA E GLYNN's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does PATRICIA E GLYNN work in?
You can think of PATRICIA E GLYNN as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for PATRICIA E GLYNN?
We surface Milton, Massachusetts for PATRICIA E GLYNN based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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