LISA G GLASS APRN
NPI 1275534091
Nurse Practitioner - Women's Health in Louisville, KY

Q: What is Lisa Glass's NPI number?

The NPI number for Lisa Glass is 1275534091. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Q: What is Lisa Glass's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Glass was last updated on February 13, 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.

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment

3015 WILSON AVE, LOUISVILLE, KY 40211(502) 774-4401(502) 772-4783 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Lisa G Glass Aprn NPPES

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

LISA G GLASS APRN (NPI 1275534091) is an individual women's health provider in Louisville, Kentucky, licensed in Kentucky (3002970) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1275534091

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameLISA G GLASSCredential: APRN

Location Address3015 WILSON AVELouisville, KY 40211-1969

Mailing Address3015 Wilson AveLouisville, KY 40211-1969 · (502) 774-4401 · Fax (502) 772-4783

Phone(502) 774-4401

Fax(502) 772-4783

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateAugust 2, 2005

Last NPPES UpdateFebruary 13, 2023

NPPES CertifiedFebruary 13, 2023

✔ NPI 1275534091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in KY · 3002970

3015 WILSON AVE, Louisville, KY 40211

Open in Google Maps ↗

Other Identifiers 4

Other000000066843Blue Access/blue Pref.

Other61-1708562DHumana

Medicaid78029709KY

Other7719001Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee 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

Lisa G Glass Aprn 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 ID2264511229

PECOS Enrollment IDI20080502000330

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 Reassignment

Medicare enrollment records show Lisa Glass reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Park Duvalle Community Health Center, Inc.

Same address

Federally Qualified Health Center (FQHC)

3015 WILSON AVE
Louisville, KY 40211

Reassigned Medicare billing, Kentucky enrollment
22 clinicians in this Medicare group

NPI 1245253160 (502) 774-4401

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 40211 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

NIKEEA BULLOCK APRN

Nurse Practitioner (Psychiatric/Mental Health)