BETH MARILYN GLENN (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1003559808

BETH MARILYN GLENN (APRN) is a healthcare provider. based in Saint peters, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 2007017725 (MO). The NPI Number for BETH MARILYN GLENN (APRN) is 1003559808

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
BETH MARILYN GLENN (APRN)
NPI
1003559808
Phone
(636) 477-6464
Address
5700 MEXICO RD STE 8
Enumeration Date
19 April 2022
Last Update Date
24 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3144760732
Graduation Year
2022 (4 years ago)
PAC ID
4082093083
Group Practice PAC ID
0446243760
Professional Enrollment ID
I20220622001835
Address ID
MO630432423MA2458XRDXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for BETH MARILYN GLENN (APRN)

  • 5700 MEXICO RD STE 8

    SAINT PETERS, MO 633761667

    Phone: (636) 477-6464

    Fax: (636) 410-9291

    Type: Location

  • 2458 OLD DORSETT RD STE 110

    MARYLAND HEIGHTS, MO 630432423

    Phone: (636) 939-2550

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $116.

Total Amount is formed as General ($116) + Research ($0) + Ownership ($0) = $116.

Last reported payment date: 2024-05-29 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($116).

Total Amount

$116

General + Research + Ownership

Payments

1

Total payment records

General Amount

$116

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Axsome Therapeutics, Inc.$116
View all Open Payments →|Open Payments Risk Radar →

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: 2022-06-22

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
I20220622001835INurse PractitionerMOTBD

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
90792Psychiatric diagnostic evaluation with medical services2525$0
99282Emergency department visit with straightforward medical decision making1513$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 63376)

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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: 0446243760View full group profile

Reviews

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Frequently asked questions

What federal number belongs to BETH MARILYN GLENN (APRN)?
The federal identifier for BETH MARILYN GLENN (APRN) is NPI 1003559808.
Is BETH MARILYN GLENN (APRN) currently active in the NPI registry?
CMS-published data lists BETH MARILYN GLENN (APRN) as an active registrant.
Does BETH MARILYN GLENN (APRN) list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for BETH MARILYN GLENN (APRN). Clinical services aligned with this taxonomy classification.
Where is BETH MARILYN GLENN (APRN)'s primary listing?
We display Saint Peters, Missouri because that is what the record indicates for BETH MARILYN GLENN (APRN).
How can I contact BETH MARILYN GLENN (APRN)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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