NICOLETTE GLIDDEN MD
NPI 1255075586
Dermatology in Collierville, TN

Active since April 22, 2022PECOS Enrolled
1125 SCHILLING BLVD E # 105TH, COLLIERVILLE, TN 38017(901) 624-3333 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Nicolette Glidden Md NPPES

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

NICOLETTE GLIDDEN MD (NPI 1255075586) is an individual dermatology provider in Collierville, Tennessee, licensed in Tennessee (76967) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255075586
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameNICOLETTE GLIDDENCredential: MD
Location Address1125 SCHILLING BLVD E # 105THCollierville, TN 38017-7078
Mailing Address1125 Schilling Blvd E # 105thCollierville, TN 38017-7078
Sole ProprietorNo
Enumeration DateApril 22, 2022
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
NPI 1255075586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in TN · 76967
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1125 SCHILLING BLVD E # 105TH, Collierville, TN 38017

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nicolette Glidden Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 38017 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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

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

Physician Assistant
1125 SCHILLING BLVD E # 105TH
COLLIERVILLE, TN 38017

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 Nicolette Glidden's NPI number?

The NPI number for Nicolette Glidden is 1255075586. It was assigned to this individual provider in the NPPES registry on April 22, 2022.

Where is Nicolette Glidden located?

Nicolette Glidden practices at 1125 Schilling Blvd E # 105th, Collierville, TN 38017. The listed phone number is (901) 624-3333.

What is Nicolette Glidden's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Nicolette Glidden enrolled in Medicare?

Yes. Nicolette Glidden is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicolette Glidden was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.