GLENN CARL SUTPHIN RN
NPI 1235953613
Nurse Practitioner - Family in Princeton, WV

Active since November 12, 2024PECOS EnrolledAccepts Medicare Assignment
122 12TH ST, PRINCETON, WV 24740(304) 487-7000 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 20, 2024, Nov 12, 2024 (2 updates tracked since 2024).

About Glenn Carl Sutphin Rn NPPES

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

GLENN CARL SUTPHIN RN (NPI 1235953613) is an individual family provider in Princeton, West Virginia, licensed in West Virginia (121399) and active in the NPI registry since November 2024. He is enrolled in Medicare PECOS, is affiliated with Princeton Community Hospital, and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1235953613
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameGLENN CARL SUTPHINCredential: RN
Location Address122 12TH STPrinceton, WV 24740-2312
Mailing Address203 Union DrPrinceton, WV 24740-8822 · (304) 921-0275
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 12, 2024
Last NPPES UpdateDecember 20, 20242 updates tracked since enumeration
NPPES CertifiedDecember 20, 2024
NPI 1235953613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WV · 121399
Also ListedRegistered Nurse · FlightTaxonomy 163WF0300X · License 81976 (WV)
122 12TH ST, Princeton, WV 24740

Secondary Practice Location 1

Location 1110 Wyoming StCharleston, WV 25302-2340 · Phone (304) 340-8000

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

Glenn Carl Sutphin Rn 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 ID8921051004
PECOS Enrollment IDI20250314002348
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Princeton Community Hospital

Acute Care Hospitals · Princeton, WV
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number510046
Location122 12th StreetPrinceton, WV 24740 · Mercer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24740 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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 20

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

Occupational Therapist
122 12TH ST
PRINCETON, WV 24740
Physician Assistant
122 12TH ST
PRINCETON, WV 24740
Nurse Practitioner
122 12TH ST
PRINCETON, WV 24740
Peer Specialist
122 12TH ST
PRINCETON, WV 24740
Nurse Practitioner (Family)
122 12TH ST
PRINCETON, WV 24740
Hospitalist
122 12TH ST
PRINCETON, WV 24740
Anesthesiology
122 12TH ST
PRINCETON, WV 24740
Physical Therapist
122 12TH ST
PRINCETON, WV 24740

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 Glenn Sutphin's NPI number?

The NPI number for Glenn Sutphin is 1235953613. It was assigned to this individual provider in the NPPES registry on November 12, 2024.

Where is Glenn Sutphin located?

Glenn Sutphin practices at 122 12th St, Princeton, WV 24740. The listed phone number is (304) 487-7000.

What is Glenn Sutphin's specialty?

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

Is Glenn Sutphin enrolled in Medicare?

Yes. Glenn Sutphin 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 Glenn Sutphin accept?

Health plans from CareSource list Glenn Sutphin 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 Glenn Sutphin affiliated with any hospitals?

According to CMS data, Glenn Sutphin is affiliated with Princeton Community Hospital.

When was this NPI record last updated?

The NPPES record for Glenn Sutphin was last updated on December 20, 2024. 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.