EDWARD ROBERT GLENNON (N.P.) – Psychiatric/Mental Health Nurse Practitioner, NPI 1396096053

EDWARD ROBERT GLENNON (N.P.) is a healthcare provider. based in Natick, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. RN274435 (MA). The NPI Number for EDWARD ROBERT GLENNON (N.P.) is 1396096053

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD ROBERT GLENNON (N.P.)
NPI
1396096053
Phone
(617) 750-7103
Address
67 UNION ST
Enumeration Date
20 September 2012
Last Update Date
20 September 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6174690300
Graduation Year
2012 (14 years ago)
PAC ID
5991940322
Group Practice PAC ID
3476653387
Professional Enrollment ID
I20130405000358
Address ID
MA024673658CH300XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for EDWARD ROBERT GLENNON (N.P.)

  • 67 UNION ST

    DEPARTMENT OF PSYCHIATRY

    NATICK, MA 017607700

    Phone: (617) 750-7103

    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: 2013-04-05

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
I20130405000358INurse 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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3116$0
99239Hospital discharge day management, more than 30 minutes1413$0
90792Psychiatric diagnostic evaluation with medical services1211$0
View full utilization report →

Insurance plans in this area (ZIP 01760)

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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: 3476653387View full group profile

Reviews

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Frequently asked questions

Can I verify EDWARD ROBERT GLENNON (N.P.) with an NPI only?
You can start verification with NPI 1396096053 for EDWARD ROBERT GLENNON (N.P.), then check state licensing separately.
Is EDWARD ROBERT GLENNON (N.P.) listed as active for patients and plans?
The listing shows EDWARD ROBERT GLENNON (N.P.) as active in the NPI system.
What taxonomy line describes EDWARD ROBERT GLENNON (N.P.)?
For research purposes, treat EDWARD ROBERT GLENNON (N.P.) as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect EDWARD ROBERT GLENNON (N.P.) on a map?
Expect Natick, Massachusetts as a primary anchor for EDWARD ROBERT GLENNON (N.P.) unless the record lists multiple sites.
Is the information about EDWARD ROBERT GLENNON (N.P.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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