KRISTINA K GLICK RN
NPI 1154647634
Nurse Practitioner in Kokomo, IN

Active since April 09, 2010PECOS EnrolledAccepts Medicare Assignment
3118 S LAFOUNTAIN ST, KOKOMO, IN 46902(765) 864-4160(765) 400-4467 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 24, 2023, Aug 31, 2022 (2 updates tracked since 2022).

About Kristina K Glick Rn NPPES

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

KRISTINA K GLICK RN (NPI 1154647634) is an individual nurse practitioner in Kokomo, Indiana, licensed in Indiana (71003254) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Community Howard Regional Health Inc., and is a graduate of Other (2010).

NPPES Registry Identity

NPI1154647634
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKRISTINA K GLICKCredential: RN
Location Address3118 S LAFOUNTAIN STKokomo, IN 46902-3710
Mailing Address8003 Castleway DrIndianapolis, IN 46250-1946 · (317) 576-1335 · Fax (317) 343-6562
Fax(765) 400-4467
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 9, 2010
Last NPPES UpdateJanuary 24, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2023
NPI 1154647634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IN · 71003254
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 28148252A (IN)
3118 S LAFOUNTAIN ST, Kokomo, IN 46902

Other Identifiers 1

Medicaid200991290IN

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

Kristina K Glick Rn 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 ID7517081375
PECOS Enrollment IDI20100831000317
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.

Hospital Affiliations CMS Care Compare 2

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

Community Howard Regional Health Inc.

Acute Care Hospitals · Kokomo, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150007
Location3500 S Lafountain StKokomo, IN 46902 · Howard County
Emergency services Birthing friendly

Ascension St Vincent Kokomo

Acute Care Hospitals · Kokomo, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150010
Location1907 W Sycamore StKokomo, IN 46904 · Howard County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46902 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
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers16 claims24 services$5.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
3118 S LAFOUNTAIN ST
KOKOMO, IN 46902
Chiropractor
3118 S LAFOUNTAIN ST
KOKOMO, IN 46902
Pediatrics
3118 S LAFOUNTAIN ST
KOKOMO, IN 46902
Family Medicine
3118 S LAFOUNTAIN ST
KOKOMO, IN 46902
Physician Assistant (Medical)
3118 S LAFOUNTAIN ST
KOKOMO, IN 46902
Clinic/Center (Primary Care)
3118 S LAFOUNTAIN ST
KOKOMO, IN 46902
Dental Hygienist
3118 S LAFOUNTAIN ST
KOKOMO, IN 46902
Dental Hygienist
3118 S LAFOUNTAIN ST
KOKOMO, IN 46902

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 Kristina Glick's NPI number?

The NPI number for Kristina Glick is 1154647634. It was assigned to this individual provider in the NPPES registry on April 9, 2010.

Where is Kristina Glick located?

Kristina Glick practices at 3118 S Lafountain St, Kokomo, IN 46902. The listed phone number is (765) 864-4160.

What is Kristina Glick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kristina Glick enrolled in Medicare?

Yes. Kristina Glick 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 Kristina Glick accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Kristina Glick 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.

Is Kristina Glick affiliated with any hospitals?

According to CMS data, Kristina Glick is affiliated with Community Howard Regional Health Inc. and Ascension St Vincent Kokomo.

When was this NPI record last updated?

The NPPES record for Kristina Glick was last updated on January 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.