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MR. JERRY EDWARD GLATTFELT CRNA
NPI 1073594461
Nurse Anesthetist, Certified Registered in Travis Afb, CA

Active since November 11, 2005PECOS Enrolled
100 BODIN CIR, 60 TH MSGS/SGCSA, TRAVIS AFB, CA 94535(707) 423-5370 Get Directions Write a Review

NPPES record last updated: September 1, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Jerry Edward Glattfelt Crna NPPES

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

MR. JERRY EDWARD GLATTFELT CRNA (NPI 1073594461) is an individual nurse anesthetist, certified registered in Travis Afb, California, licensed in Illinois (041-232449) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073594461
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. JERRY EDWARD GLATTFELTCredential: CRNA
Location Address100 BODIN CIR, 60 TH MSGS/SGCSATravis Afb, CA 94535-1804
Mailing Address1131 Park LnSuisun City, CA 94585-2878 · (707) 428-4272
Phone(707) 423-5370
Sole ProprietorNo
Enumeration DateNovember 11, 2005
Last NPPES UpdateSeptember 1, 2010
✔ NPI 1073594461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in IL · 041-232449✔ Licensed in IL · 209-003657 APN LICEN
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
100 BODIN CIR, Travis Afb, CA 94535
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jerry Edward Glattfelt Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Jerry Glattfelt reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cpr Anesthesia, Inc
924 mi
Anesthesiology
3000 S JAMAICA CT STE 140
Aurora, CO 80014
  • Reassigned Medicare billing, Colorado enrollment
  • 99 clinicians in this Medicare group
NPI 1326436353 (303) 755-3201
Greater Florida Anesthesiologists, LLC
2,369 mi
Anesthesiology
900 CARILLON PKWY STE 205
St Petersburg, FL 33716
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Anesthesiologists Of Greater Orlando Inc
  • 530 clinicians in this Medicare group
NPI 1942519657 (954) 939-5000
St. Lucie Anesthesia Associates, LLC
2,377 mi
Anesthesiology
201 W GUAVA ST
Lady Lake, FL 32159
  • Reassigned Medicare billing, Florida enrollment
  • 230 clinicians in this Medicare group
NPI 1821660523 (877) 328-1119
Anesthesia Physician Solutions Of South Florida, LLC
2,517 mi
Anesthesiology
1800 SE TIFFANY AVE
Port St Lucie, FL 34952
  • Reassigned Medicare billing, Florida enrollment
  • 562 clinicians in this Medicare group
NPI 1437823507 (954) 939-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94535 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
$145.83 typical visit price
range $65.02 – $191.95
Typical copayment $36.45 (range $16.25 – $47.98)
Most-billed visit code 99204
Established Patient
$80.24 typical visit price
range $21.86 – $157.69
Typical copayment $20.06 (range $5.46 – $39.42)
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 3

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

DR. OMAR P MULLA MD
Anesthesiology
100 BODIN CIR, DAVID GRANT MEDICAL CENTER
TRAVIS AFB, CA 94535
Solano County (707) 423-3578
MRS. SHEILA SCOTT
Occupational Therapist
100 BODIN CIR, ATTN: OCCUPATIONAL THERAPY
TRAVIS AFB, CA 94535
Solano County (707) 423-7822
LAWRENCE JOSEPH HAAS LCSW
Social Worker (Clinical)
100 BODIN CIR
FAIRFIELD, CA 94535
Solano County (707) 416-8642

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 Jerry Glattfelt's NPI number?

The NPI number for Jerry Glattfelt is 1073594461. It was assigned to this individual provider in the NPPES registry on November 11, 2005.

Where is Jerry Glattfelt located?

Jerry Glattfelt practices at 100 Bodin Cir 60 Th Msgs/Sgcsa, Travis Afb, CA 94535. The listed phone number is (707) 423-5370.

What is Jerry Glattfelt's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Jerry Glattfelt enrolled in Medicare?

Yes. Jerry Glattfelt is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jerry Glattfelt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Glattfelt reassigns Medicare benefits to 4 organizations: Cpr Anesthesia, Inc (Aurora, CO), Greater Florida Anesthesiologists, LLC (St Petersburg, FL), St. Lucie Anesthesia Associates, LLC (Lady Lake, FL) and Anesthesia Physician Solutions Of South Florida, LLC (Port St Lucie, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jerry Glattfelt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jerry Glattfelt accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Jerry Glattfelt 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.

When was this NPI record last updated?

The NPPES record for Jerry Glattfelt was last updated on September 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.