MS. CODIE GLASS (FNP-C) – Family Nurse Practitioner, NPI 1033959804

MS. CODIE GLASS (FNP-C) is a healthcare provider. based in Henderson, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 877352 (NV). The NPI Number for MS. CODIE GLASS (FNP-C) is 1033959804

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
MS. CODIE GLASS (FNP-C)
NPI
1033959804
Phone
(702) 286-1751
Address
1371 W WARM SPRINGS RD STE 120
Enumeration Date
29 May 2024
Last Update Date
10 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8888889930
Graduation Year
2024 (2 years ago)
PAC ID
7810437159
Group Practice PAC ID
7315275773
Professional Enrollment ID
I20240912002912
Address ID
NV89119XXXXLAXXXXXXXXXX00
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,947 NURSE PRACTITIONER in NV

Provider Addresses for MS. CODIE GLASS (FNP-C)

  • 1371 W WARM SPRINGS RD STE 120

    HENDERSON, NV 890148068

    Phone: (702) 286-1751

    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: 2024-09-12

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
I20240912002912INurse PractitionerNVTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89014)

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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: 7315275773View full group profile
NameSpecialtyState
Nurse PractitionerNV
Nurse PractitionerNV
Nurse PractitionerNV
Nurse PractitionerAZ
Nurse PractitionerNV
-NV
-NV
Nurse PractitionerNV
Nurse PractitionerNV
-NV

Reviews

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Frequently asked questions

What federal number belongs to MS. CODIE GLASS (FNP-C)?
The federal identifier for MS. CODIE GLASS (FNP-C) is NPI 1033959804.
Is MS. CODIE GLASS (FNP-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MS. CODIE GLASS (FNP-C) work in?
You can think of MS. CODIE GLASS (FNP-C) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MS. CODIE GLASS (FNP-C)'s primary listing?
We display Henderson, Nevada because that is what the record indicates for MS. CODIE GLASS (FNP-C).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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