GLEN S BLAIR (CNP) – Adult Health Nurse Practitioner, NPI 1629047873
Adult Health Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for GLEN S BLAIR (CNP)
637 Washington St
Dorchester, MA 021243510
Phone: (617) 825-9660
Fax: (617) 288-7898
Type: Location
637 WASHINGTON ST
DORCHESTER, MA 021243510
Phone: (617) 825-9660
Fax: (617) 288-7898
Type: Mailing
230 WORCESTER ST
WELLESLEY, MA 024815420
Phone: (781) 431-5255
Fax: (781) 431-5329
Type: Mailing
Harvard Vanguard, 147, Milk Street, Dock Square, Financial District, Boston, Suffolk County, Massachusetts, 02110, United States
PROVIDER ENROLLMENT - 9TH FLOOR
BOSTON, MA 021094806
Phone: (617) 559-8053
Fax: (617) 421-3487
Type: Mailing
Chestnut Hill-West Roxbury - Harvard Vanguard, 291, Independence Drive, Hancock Village, Brookline, Norfolk County, Massachusetts, 02467, United States
CHESTNUT HILL, MA 024673628
Phone: (617) 325-2800
Fax: (617) 541-7500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2006-02-07
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 |
|---|---|---|---|---|
| I20060207000771 | I | Nurse Practitioner | MA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 26 | 24 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 17 | 16 | $0 |
Insurance plans in this area (ZIP 02124)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| Family Practice | MA | |
| D E R M A T O L O G Y | MA | |
| Emergency Medicine | MA | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | MA | |
| - | MA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| - | MA | |
| Internal Medicine | MA | |
| O T O L A R Y N G O L O G Y | MA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.