KATHLEEN GLENN PA
NPI 1104470129
Physician Assistant - Medical in Aurora, CO

Active since July 29, 2019PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
12605 E 16TH AVE, AURORA, CO 80045(720) 848-0000 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 19, 2021, Aug 28, 2020, Jul 29, 2019 (3 updates tracked since 2019).

About Kathleen Glenn Pa NPPES

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

KATHLEEN GLENN PA (NPI 1104470129) is an individual medical provider in Aurora, Colorado, licensed in Colorado (PA.0005848) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Denver, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1104470129
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKATHLEEN GLENNCredential: PA
Location Address12605 E 16TH AVEAurora, CO 80045-2545
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 29, 2019
Last NPPES UpdateOctober 19, 20213 updates tracked since enumeration
NPPES CertifiedOctober 19, 2021
NPI 1104470129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CO · PA.0005848
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA.0005848 (CO)
12605 E 16TH AVE, Aurora, CO 80045

Other Names 1

Former Name (1)Kathleen Holec Pa

Secondary Practice Location 1

Location 11453 27th StDenver, CO 80205-2243 · Phone (203) 326-0106

Accepted 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

Kathleen Glenn 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 ID3779917307
PECOS Enrollment IDI20200827002852
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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Surgery (Trauma Surgery)
12605 E 16TH AVE
AURORA, CO 80045
Pediatrics (Pediatric Emergency Medicine)
12605 E 16TH AVE
AURORA, CO 80045
Pharmacist
12605 E 16TH AVE
AURORA, CO 80045
Surgery (Surgical Critical Care)
12605 E 16TH AVE
AURORA, CO 80045
Nurse Practitioner (Adult Health)
12605 E 16TH AVE
AURORA, CO 80045
Nurse Anesthetist, Certified Registered
12605 E 16TH AVE
AURORA, CO 80045
Nurse Practitioner (Family)
12605 E 16TH AVE
AURORA, CO 80045
Nurse Anesthetist, Certified Registered
12605 E 16TH AVE
AURORA, CO 80045

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 Kathleen Glenn's NPI number?

The NPI number for Kathleen Glenn is 1104470129. It was assigned to this individual provider in the NPPES registry on July 29, 2019. The provider is also known as Kathleen Holec PA.

Where is Kathleen Glenn located?

Kathleen Glenn practices at 12605 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 848-0000.

What is Kathleen Glenn's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kathleen Glenn enrolled in Medicare?

Yes. Kathleen Glenn 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 Kathleen Glenn accept?

Health plans from Medica and UnitedHealthcare list Kathleen Glenn 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 Kathleen Glenn was last updated on October 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.