MISTY D. GLENN (FNP-C) – Nurse Practitioner, NPI 1033501374

MISTY D. GLENN (FNP-C) is a healthcare provider. based in Saint louis, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 2015005078 (MO). The NPI Number for MISTY D. GLENN (FNP-C) is 1033501374

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MISTY D. GLENN (FNP-C)
NPI
1033501374
Phone
(417) 829-4620
Address
PO BOX 505164
Enumeration Date
24 February 2015
Last Update Date
27 April 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4172134696
Graduation Year
2014 (12 years ago)
PAC ID
9830417211
Group Practice PAC ID
7416865845
Professional Enrollment ID
I20150415000527
Address ID
MO656163725BR448XX248X406
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for MISTY D. GLENN (FNP-C)

  • PO BOX 505164

    SAINT LOUIS, MO 631505164

    Phone: (417) 829-4620

    Type: Mailing

  • 1235 E CHEROKEE ST

    SPRINGFIELD, MO 658042203

    Phone: (417) 820-2600

    Fax: (417) 820-2100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $322.

Total Amount is formed as General ($322) + Research ($0) + Ownership ($0) = $322.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Genmab U.S., Inc. ($89).

Total Amount

$322

General + Research + Ownership

Payments

15

Total payment records

General Amount

$322

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2015-04-15

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
I20150415000527INurse 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
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count14730$0
36415Insertion of needle into vein for collection of blood sample14332$0
83735Magnesium level13626$0
80053Blood test, comprehensive group of blood chemicals12926$0
99214Established patient office or other outpatient visit, 30-39 minutes12064$0
View full utilization report →

Insurance plans in this area (ZIP 63150)

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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: 7416865845View full group profile

Reviews

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Frequently asked questions

What is MISTY D. GLENN (FNP-C)'s NPI number?
MISTY D. GLENN (FNP-C)'s NPI is 1033501374 — the number used across U.S. healthcare to identify this provider.
Is MISTY D. GLENN (FNP-C) still an active registrant?
MISTY D. GLENN (FNP-C) carries an active NPI according to the public dataset.
What kind of doctor is MISTY D. GLENN (FNP-C)?
MISTY D. GLENN (FNP-C) is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is MISTY D. GLENN (FNP-C) located near Saint Louis?
MISTY D. GLENN (FNP-C) currently maps to Saint Louis, Missouri in this extract.
When was this NPI issued?
Enumeration for MISTY D. GLENN (FNP-C) is noted as February 24, 2015 where the registry provides it.

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