LAURA GLASS NP
NPI 1114786845
Nurse Practitioner - Psychiatric/Mental Health in Myrtle Beach, SC

Active since March 15, 2024PECOS EnrolledAccepts Medicare Assignment
101 BRIGHTWATER DR, MYRTLE BEACH, SC 29579(803) 373-9378 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2026, Mar 12, 2026 (2 updates tracked since 2026).

About Laura Glass Np NPPES

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

LAURA GLASS NP (NPI 1114786845) is an individual psychiatric/mental health provider in Myrtle Beach, South Carolina, licensed in South Carolina (28499) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Clover, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1114786845
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLAURA GLASSCredential: NP
Location Address101 BRIGHTWATER DRMyrtle Beach, SC 29579-8275
Mailing Address122 Pine Grove CirClover, SC 29710-8943 · (803) 373-9378
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 15, 2024
Last NPPES UpdateMay 20, 20262 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
NPI 1114786845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in SC · 28499 Licensed in NC · 5023682
101 BRIGHTWATER DR, Myrtle Beach, SC 29579

Secondary Practice Location 1

Location 1122 Pine Grove CirClover, SC 29710-8943 · Phone (803) 373-9378

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

Laura Glass Np 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 ID8022511625
PECOS Enrollment IDI20250910003684, I20260328000365
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 29579 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Physical Therapy Assistant
101 BRIGHTWATER DR
MYRTLE BEACH, SC 29579
Home Health
101 BRIGHTWATER DR
MYRTLE BEACH, SC 29579
Physical Therapy Assistant
101 BRIGHTWATER DR
MYRTLE BEACH, SC 29579
Occupational Therapy Assistant
101 BRIGHTWATER DR
MYRTLE BEACH, SC 29579
Occupational Therapist (Gerontology)
101 BRIGHTWATER DR
MYRTLE BEACH, SC 29579
Occupational Therapy Assistant
101 BRIGHTWATER DR
MYRTLE BEACH, SC 29579
Speech-Language Pathologist
101 BRIGHTWATER DR
MYRTLE BEACH, SC 29579
Occupational Therapy Assistant
101 BRIGHTWATER DR
MYRTLE BEACH, SC 29579

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 Laura Glass's NPI number?

The NPI number for Laura Glass is 1114786845. It was assigned to this individual provider in the NPPES registry on March 15, 2024.

Where is Laura Glass located?

Laura Glass practices at 101 Brightwater Dr, Myrtle Beach, SC 29579. The listed phone number is (803) 373-9378.

What is Laura Glass's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Laura Glass enrolled in Medicare?

Yes. Laura 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 Laura Glass accept?

Health plans from BlueCross BlueShield of South Carolina and UnitedHealthcare list Laura 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.

When was this NPI record last updated?

The NPPES record for Laura Glass was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.