CHARITY GLASS NP
NPI 1184202327
Nurse Practitioner - Pediatrics in Tupelo, MS
About Charity Glass Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARITY GLASS NP (NPI 1184202327) is an individual pediatrics provider in Tupelo, Mississippi, licensed in Mississippi (904510) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Mooreville.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Charity Glass Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Charity Glass reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Memphis, TN 38103
- Reassigned Medicare billing, Mississippi enrollment
- 12 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38804 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Charity Glass's NPI number?
The NPI number for Charity Glass is 1184202327. It was assigned to this individual provider in the NPPES registry on March 30, 2021.
Where is Charity Glass located?
Charity Glass practices at 942 Commonwealth Blvd, Tupelo, MS 38804. The listed phone number is (662) 620-0101.
What is Charity Glass's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Charity Glass enrolled in Medicare?
Yes. Charity Glass is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Charity Glass's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charity Glass reassigns Medicare benefits to Ut Lebonheur Pediatric Specialists, Inc. (Memphis, TN). The 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 Charity Glass's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Charity Glass accept?
Health plans from Cigna Healthcare and Molina Healthcare list Charity 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 Charity Glass was last updated on May 30, 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.
# Charity Glass, NP · NPI 1184202327
Pediatrics physician in Tupelo, Mississippi. Individual provider, active in the CMS NPPES registry since March 30, 2021.
## Identity
- **NPI:** 1184202327 (Entity type: Individual)
- **Enumerated:** March 30, 2021
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 904510 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 942 COMMONWEALTH BLVD, Tupelo, MS 38804-9762
- **Phone:** (662) 620-0101 · **Fax:** (662) 620-0090
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ut Lebonheur Pediatric Specialists, Inc. (NPI 1093024101, Memphis, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1184202327) · Data from the CMS NPPES public registry.