GLEN ROBERT JR. DOPP (DNP, APRN, FNP-BC) – Family Nurse Practitioner, NPI 1568827947
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for GLEN ROBERT JR. DOPP (DNP, APRN, FNP-BC)
6055 161st Street NW
Cass Lake, MN 56633
Phone: (218) 301-9265
Type: Location
4800 SAND POINT WAY NE
SEATTLE, WA 981053901
Phone: (206) 987-7700
Type: Mailing
PO BOX 521
DEER RIVER, MN 566360521
Phone: (218) 301-9265
Type: Mailing
1901 RED ROCK DR
GALLUP, NM 873015683
Phone: (505) 863-7000
Type: Location
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: 2024-12-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241213003703 | I | Nurse Practitioner | NM | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 56633)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | NM | |
| Physician Assistant | NM | |
| Internal Medicine | CO | |
| Nurse Practitioner | MO | |
| P O D I A T R Y | FL | |
| - | NM | |
| Nurse Practitioner | NM | |
| Nephrology, Internal Medicine | WA | |
| Internal Medicine, Nephrology, Nephrology, Geriatric Medicine | NM | |
| Internal Medicine | TX |
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