DANIELLE GLICK P.A.
NPI 1104230531
Physician Assistant in Indianapolis, IN

Q: What is Danielle Glick's NPI number?

The NPI number for Danielle Glick is 1104230531. It was assigned to this individual provider in the NPPES registry on June 13, 2014.

Q: What is Danielle Glick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Danielle Glick was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 13, 2014PECOS EnrolledAccepts Medicare Assignment

7950 N SHADELAND AVE STE 350, INDIANAPOLIS, IN 46250(317) 621-6900(317) 621-4460 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 30, 2020, Sep 17, 2019, Jun 11, 2019 and 2 more (5 updates tracked since 2018).

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About Danielle Glick P.a. NPPES

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

DANIELLE GLICK P.A. (NPI 1104230531) is an individual physician assistant in Indianapolis, Indiana, licensed in Indiana (10001659A) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Community Hospital East, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1104230531

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameDANIELLE GLICKCredential: P.A.

Location Address7950 N SHADELAND AVE STE 350Indianapolis, IN 46250

Mailing Address6626 E 75th St Ste 500Indianapolis, IN 46250-2890 · (317) 621-1647

Phone(317) 621-6900

Fax(317) 621-4460

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJune 13, 2014

Last NPPES UpdateNovember 27, 20235 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2020

✔ NPI 1104230531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IN · 10001659A

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.

7950 N SHADELAND AVE STE 350, Indianapolis, IN 46250

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Secondary Practice Locations 3

Location 11400 N Ritter Ave, Ste 220Indianapolis, IN 46219 · Phone (317) 715-5600 · Fax (317) 715-5618

Location 27250 Clearvista Dr Ste 355Indianapolis, IN 46256-5609 · Phone (317) 621-5676 · Fax (317) 621-5678

Location 31400 N Ritter Ave Ste 370Indianapolis, IN 46219-3098 · Phone (317) 355-1144 · Fax (317) 355-1155

Other Identifiers 2

OtherP02259017IN · Rr Medicare

Medicaid300003675IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Danielle Glick P.a. 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 ID8921223462

PECOS Enrollment IDI20140625002206

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.

67 services62 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

40 services37 patients

Hospital Affiliations CMS Care Compare 2

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

Community Hospital East

Acute Care Hospitals · Indianapolis, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150074

Location1500 N Ritter AveIndianapolis, IN 46219 · Marion County

Emergency services Birthing friendly

Community Hospital North

Acute Care Hospitals · Indianapolis, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150169

Location7150 Clearvista DrIndianapolis, IN 46256 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46250 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers25 claims25 services$31.08 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 5

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

MRS. KATHRYN ANNA WALTER PA-C

Physician Assistant (Medical)