JENNY GLENN
NPI 1164180485
Nurse Practitioner - Acute Care in Liberty, TX
About Jenny Glenn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNY GLENN (NPI 1164180485) is an individual acute care provider in Liberty, Texas, licensed in Texas (1055119) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, is affiliated with Liberty Dayton Regional Medical Center, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Jenny Glenn 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Liberty Dayton Regional Medical Center
Critical Access Hospitals · Liberty, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77575 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LIBERTY, TX 77575
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 Jenny Glenn's NPI number?
The NPI number for Jenny Glenn is 1164180485. It was assigned to this individual provider in the NPPES registry on December 3, 2021.
Where is Jenny Glenn located?
Jenny Glenn practices at 1201 N Travis St, Liberty, TX 77575. The listed phone number is (936) 336-9175.
What is Jenny Glenn's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Jenny Glenn enrolled in Medicare?
Yes. Jenny 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.
Is Jenny Glenn affiliated with any hospitals?
According to CMS data, Jenny Glenn is affiliated with Liberty Dayton Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Jenny Glenn was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Jenny Glenn · NPI 1164180485
Acute Care physician in Liberty, Texas. Individual provider, active in the CMS NPPES registry since December 3, 2021.
## Identity
- **NPI:** 1164180485 (Entity type: Individual)
- **Enumerated:** December 3, 2021
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 1055119 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1201 N TRAVIS ST, Liberty, TX 77575-3539
- **Phone:** (936) 336-9175 · **Fax:** (936) 336-8581
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** January 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1164180485) · Data from the CMS NPPES public registry.