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STACIE GLASS PA
NPI 1033803481
Physician Assistant in Provo, UT

Active since June 07, 2023PECOS EnrolledAccepts Medicare Assignment
395 W COUGAR BLVD STE 602, PROVO, UT 84604(801) 357-0570 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacie Glass Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACIE GLASS PA (NPI 1033803481) is an individual physician assistant in Provo, Utah and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and is a graduate of Yale University School Of Medicine (2023).

NPPES Registry Identity

NPI1033803481
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSTACIE GLASSCredential: PA
Location Address395 W COUGAR BLVD STE 602Provo, UT 84604-3331
Mailing Address395 W Cougar Blvd Ste 602Provo, UT 84604-3331 · (801) 357-0570
Phone(801) 357-0570
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2023
Enumeration DateJune 7, 2023
NPPES CertifiedJune 7, 2023
✔ NPI 1033803481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
395 W COUGAR BLVD STE 602, Provo, UT 84604
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stacie Glass Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709231707
PECOS Enrollment IDI20231011002346
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
75 services49 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Utah Valley Hospital

Acute Care Hospitals · Provo, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460001
Location1034 North 500 WestProvo, UT 84604 · Utah County
Emergency services Birthing friendly

American Fork Hospital

Acute Care Hospitals · American Fork, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460023
Location170 North 1100 EastAmerican Fork, UT 84003 · Utah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAMON BELL
Nurse Practitioner
395 W COUGAR BLVD STE 602
PROVO, UT 84604
Utah County (801) 357-7250
MR. TIMOTHY LYLE SELLERS NP
Nurse Practitioner (Family)
395 W COUGAR BLVD STE 602
PROVO, UT 84604
Utah County (801) 257-7250
IHC HEALTH SERVICES INC
Internal Medicine (Geriatric Medicine)
395 W COUGAR BLVD STE 602
PROVO, UT 84604
Utah County (801) 357-7250
DR. SHILPA KALA SANNAPANENI MD
Internal Medicine
395 W COUGAR BLVD STE 602
PROVO, UT 84604
Utah County (801) 357-0570

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacie Glass's NPI number?

The NPI number for Stacie Glass is 1033803481. It was assigned to this individual provider in the NPPES registry on June 7, 2023.

Where is Stacie Glass located?

Stacie Glass practices at 395 W Cougar Blvd Ste 602, Provo, UT 84604. The listed phone number is (801) 357-0570.

What is Stacie Glass's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Stacie Glass enrolled in Medicare?

Yes. Stacie Glass is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stacie Glass accept?

Health plans from Select Health list Stacie Glass as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Stacie Glass affiliated with any hospitals?

According to CMS data, Stacie Glass is affiliated with Utah Valley Hospital and American Fork Hospital.

When was this NPI record last updated?

The NPPES record for Stacie Glass was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.