JENNY GLENN
NPI 1164180485
Nurse Practitioner - Acute Care in Liberty, TX

Q: 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.

Q: What is Jenny Glenn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: 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 22 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.

Active since December 03, 2021PECOS EnrolledAccepts Medicare Assignment

1201 N TRAVIS ST, LIBERTY, TX 77575(936) 336-9175(936) 336-8581 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 2, 2025, Nov 13, 2024, Dec 3, 2021 (3 updates tracked since 2021).

On this page

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

NPI1164180485

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameJENNY GLENN

Location Address1201 N TRAVIS STLiberty, TX 77575-3539

Mailing Address647 County Road 6494Dayton, TX 77535-3215 · (713) 319-8944

Phone(936) 336-9175

Fax(936) 336-8581

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateDecember 3, 2021

Last NPPES UpdateJanuary 2, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 2, 2025

✔ NPI 1164180485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TX · 1055119

1201 N TRAVIS ST, Liberty, TX 77575

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

PECOS PAC ID5496290074

PECOS Enrollment IDI20240709000893

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.

Medicare Billing Reassignments

Medicare enrollment records show Jenny Glenn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Liberty County Hospital District No 1

Same address

Rural Health

1202 N TRAVIS ST
Liberty, TX 77575

Reassigned Medicare billing, Texas enrollment
33 clinicians in this Medicare group

NPI 1386401560 (281) 915-0749

Tmh Physician Associates PLLC

44 mi

Ophthalmology

6550 FANNIN ST, SUITE 447
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
2,407 clinicians in this Medicare group

NPI 1275779225 (713) 441-7389

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number451375

Location1353 N Travis StLiberty, TX 77575 · Liberty County

Emergency services

Physician 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.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 2

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

LIBERTY COUNTY HOSPITAL DISTRICT NO 1

Clinic/Center (Rural Health)

1201 N TRAVIS ST
LIBERTY, TX 77575

Liberty County (936) 336-9175

SANDY GONZALEZ FNP-C

Nurse Practitioner (Family)

1201 N TRAVIS ST
LIBERTY, TX 77575

Liberty County (936) 336-9175

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.

Which organizations bill Medicare for Jenny Glenn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenny Glenn reassigns Medicare benefits to 2 organizations: Liberty County Hospital District No 1 (Liberty, TX) and Tmh Physician Associates PLLC (Houston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jenny Glenn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jenny Glenn accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Jenny Glenn 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 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 22 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.