GLYNN NUSBAUM PA
NPI 1194453373
Physician Assistant in Slidell, LA

Active since August 15, 2022PECOS EnrolledAccepts Medicare Assignment
1001 GAUSE BLVD, SLIDELL, LA 70458(985) 280-2200 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 20, 2026, Jul 29, 2024, Jun 12, 2023 and 1 more (4 updates tracked since 2022).

About Glynn Nusbaum Pa NPPES

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

GLYNN NUSBAUM PA (NPI 1194453373) is an individual physician assistant in Slidell, Louisiana, licensed in Louisiana (333829) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1194453373
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGLYNN NUSBAUMCredential: PA
Location Address1001 GAUSE BLVDSlidell, LA 70458-2939
Mailing Address1514 Jefferson HwyNew Orleans, LA 70121-2429 · (504) 842-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 15, 2022
Last NPPES UpdateJanuary 20, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
NPI 1194453373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in LA · 333829
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1001 GAUSE BLVD, Slidell, LA 70458

Secondary Practice Locations 2

Location 11514 Jefferson HwyNew Orleans, LA 70121-2429 · Phone (504) 842-3653 · Fax (504) 842-2905
Location 2971 Robert BlvdSlidell, LA 70458-2009 · Phone (985) 690-8300

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

Glynn Nusbaum Pa 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 ID1355710039
PECOS Enrollment IDI20221220002097
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70458 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
Most-billed visit code 99213
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 20

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

Nurse Practitioner (Acute Care)
1001 GAUSE BLVD
SLIDELL, LA 70458
Nurse Practitioner
1001 GAUSE BLVD
SLIDELL, LA 70458
Nurse Anesthetist, Certified Registered
1001 GAUSE BLVD
SLIDELL, LA 70458
Emergency Medicine (Emergency Medical Services)
1001 GAUSE BLVD
SLIDELL, LA 70458
Nurse Anesthetist, Certified Registered
1001 GAUSE BLVD
SLIDELL, LA 70458
Nurse Anesthetist, Certified Registered
1001 GAUSE BLVD
SLIDELL, LA 70458
Surgery
1001 GAUSE BLVD
SLIDELL, LA 70458
Nurse Anesthetist, Certified Registered
1001 GAUSE BLVD
SLIDELL, LA 70458

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 Glynn Nusbaum's NPI number?

The NPI number for Glynn Nusbaum is 1194453373. It was assigned to this individual provider in the NPPES registry on August 15, 2022.

Where is Glynn Nusbaum located?

Glynn Nusbaum practices at 1001 Gause Blvd, Slidell, LA 70458. The listed phone number is (985) 280-2200.

What is Glynn Nusbaum's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Glynn Nusbaum enrolled in Medicare?

Yes. Glynn Nusbaum 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 Glynn Nusbaum accept?

Health plans from Blue Cross and Blue Shield of Louisiana, CHRISTUS Health Plan and HMO Louisiana list Glynn Nusbaum 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 Glynn Nusbaum was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.