Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ELIZABETH GRACE GLENN PA-C
NPI 1104579333
Emergency Medicine in Manchester, IA

Q: What is Elizabeth Glenn's NPI number?

The NPI number for Elizabeth Glenn is 1104579333. It was assigned to this individual provider in the NPPES registry on January 28, 2022. The provider is also known as Elizabeth Grace Mills Pa-C.

Q: What is Elizabeth Glenn's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Glenn was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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 January 28, 2022PECOS Enrolled

709 W MAIN ST, MANCHESTER, IA 52057(563) 927-3232(563) 927-7486 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 22, 2026, Jan 28, 2022 (2 updates tracked since 2022).

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About Elizabeth Grace Glenn Pa-c NPPES

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

ELIZABETH GRACE GLENN PA-C (NPI 1104579333) is an individual emergency medicine provider in Manchester, Iowa, licensed in Iowa (112524) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104579333

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameELIZABETH GRACE GLENNCredential: PA-C

Location Address709 W MAIN STManchester, IA 52057-1526

Mailing Address709 W Main StManchester, IA 52057-1526 · (563) 927-7405 · Fax (563) 927-7518

Phone(563) 927-3232

Fax(563) 927-7486

Sole ProprietorNo

Enumeration DateJanuary 28, 2022

Last NPPES UpdateSeptember 22, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2026

✔ NPI 1104579333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in IA · 112524

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedPhysician AssistantTaxonomy 363A00000X

709 W MAIN ST, Manchester, IA 52057

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Other Names 1

Former Name (1)Elizabeth Grace Mills Pa-c

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Grace Glenn Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52057 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

Most-billed visit code 99214

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 20

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

MRS. RHONDA GOTTO LISW

Social Worker (Clinical)