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

GLEN WILEY APRN, FNP-C
NPI 1154905982
Nurse Practitioner - Family in Banning, CA

Q: What is Glen Wiley's NPI number?

The NPI number for Glen Wiley is 1154905982. It was assigned to this individual provider in the NPPES registry on May 7, 2021.

Q: What is Glen Wiley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Glen Wiley was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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 May 07, 2021PECOS Enrolled

11555 POTRERO RD, BANNING, CA 92220(251) 849-4761 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2026, May 7, 2021 (2 updates tracked since 2021).

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About Glen Wiley Aprn, Fnp-c NPPES

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

GLEN WILEY APRN, FNP-C (NPI 1154905982) is an individual family provider in Banning, California, licensed in California (95017368) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1154905982

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameGLEN WILEYCredential: APRN, FNP-C

Location Address11555 POTRERO RDBanning, CA 92220-6946

Mailing Address1647 W Ponderosa WayUpland, CA 91784-7454 · (909) 697-6769

Phone(251) 849-4761

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateMay 7, 2021

Last NPPES UpdateJuly 14, 20262 updates tracked since enumeration

NPPES CertifiedJuly 14, 2026

✔ NPI 1154905982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in CA · 95017368✔ Licensed in TX · 1031197✔ Licensed in MO · 2025038559

11555 POTRERO RD, Banning, CA 92220

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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)

Glen Wiley Aprn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052715349

PECOS Enrollment IDI20210809002888

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 3

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

110 services11 patients

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.

25 services24 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92220 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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 3

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

DR. JEAN T DINH OD

Optometrist

11555 POTRERO RD
BANNING, CA 92220

Riverside County (951) 849-4761

MR. FRANCIS ANTHONY ROBICHAUD C.A.D.C.II C.S.A.C

Counselor (Addiction (Substance Use Disorder))

11555 POTRERO RD
BANNING, CA 92220

Riverside County (800) 732-8805

RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))

11555 POTRERO RD
BANNING, CA 92220

Riverside County (951) 849-4761

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 Glen Wiley's NPI number?

The NPI number for Glen Wiley is 1154905982. It was assigned to this individual provider in the NPPES registry on May 7, 2021.

Where is Glen Wiley located?

Glen Wiley practices at 11555 Potrero Rd, Banning, CA 92220. The listed phone number is (251) 849-4761.

What is Glen Wiley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Glen Wiley enrolled in Medicare?

Yes. Glen Wiley is registered in the Medicare PECOS enrollment system.

What insurance does Glen Wiley accept?

Health plans from Blue Cross and Blue Shield of Texas list Glen Wiley 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 Glen Wiley was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.