MR. ANTHONY ERIK GLYDWELL (FNP-C) – Family Nurse Practitioner, NPI 1104251776

MR. ANTHONY ERIK GLYDWELL (FNP-C) is a healthcare provider. based in Lawton, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 39135 (TN). The NPI Number for MR. ANTHONY ERIK GLYDWELL (FNP-C) is 1104251776

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
MR. ANTHONY ERIK GLYDWELL (FNP-C)
NPI
1104251776
Phone
(580) 354-5021
Address
1515 NE LAWRIE TATUM RD
Enumeration Date
13 September 2013
Last Update Date
7 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7125632611
Graduation Year
2013 (13 years ago)
PAC ID
6800023300
Group Practice PAC ID
7618866096
Professional Enrollment ID
I20190111000082
Address ID
IA500251056AU515XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Digital endpointsOther names

3,529 NURSE PRACTITIONER in IA

Provider Addresses for MR. ANTHONY ERIK GLYDWELL (FNP-C)

  • 1515 NE LAWRIE TATUM RD

    LAWTON, OK 735073002

    Phone: (580) 354-5021

    Type: Mailing

  • 1646 305TH ST

    TAMA, IA 523399698

    Phone: (641) 484-4094

    Type: Location

  • 1000 HIGHWAY 76

    CLARKSVILLE, TN 370438405

    Phone: (931) 245-1150

    Fax: (931) 289-2453

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $188.

Total Amount is formed as General ($188) + Research ($0) + Ownership ($0) = $188.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Medtronic, Inc. ($131).

Total Amount

$188

General + Research + Ownership

Payments

8

Total payment records

General Amount

$188

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

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: 2025-10-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20131206001703INurse PractitionerTXTBD
I20190111000082INurse PractitionerIATBD
I20251030000881INurse PractitionerTNTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes9686$0
99212Established patient office or other outpatient visit, 10-19 minutes2721$0
36415Insertion of needle into vein for collection of blood sample2518$0
81003Automated urinalysis test2423$0
80053Blood test, comprehensive group of blood chemicals2217$0
View full utilization report →

Insurance plans in this area (ZIP 73507)

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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: 7618866096View full group profile
NameSpecialtyState
Nurse PractitionerIA
Nurse PractitionerME
Nurse PractitionerOK
Nurse PractitionerIA
General SurgeryIA
Nurse PractitionerNC
Nurse PractitionerIA
Cardiovascular Disease (Cardiology), Internal MedicineTX
Emergency Medicine, Internal MedicineWI
Medical OncologyIA

Reviews

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Frequently asked questions

Can I verify MR. ANTHONY ERIK GLYDWELL (FNP-C) with an NPI only?
You can start verification with NPI 1104251776 for MR. ANTHONY ERIK GLYDWELL (FNP-C), then check state licensing separately.
Does the file indicate MR. ANTHONY ERIK GLYDWELL (FNP-C) is practicing under active NPI?
Directory data currently reports MR. ANTHONY ERIK GLYDWELL (FNP-C) as active.
What is MR. ANTHONY ERIK GLYDWELL (FNP-C) best known for clinically?
Directory data describes MR. ANTHONY ERIK GLYDWELL (FNP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for MR. ANTHONY ERIK GLYDWELL (FNP-C)?
MR. ANTHONY ERIK GLYDWELL (FNP-C)'s geographic hint is Lawton, Oklahoma in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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