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JEANETTE SHANTE GLENN FNP
NPI 1316792245
Nurse Practitioner - Family in Hampton, VA

Active since April 23, 2024PECOS Enrolled
2100 EXECUTIVE DR STE B, HAMPTON, VA 23666(757) 971-7719 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jeanette Shante Glenn Fnp NPPES

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

JEANETTE SHANTE GLENN FNP (NPI 1316792245) is an individual family provider in Hampton, Virginia, licensed in Virginia (0024190036) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1316792245
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJEANETTE SHANTE GLENNCredential: FNP
Location Address2100 EXECUTIVE DR STE BHampton, VA 23666-2402
Mailing Address6461 Crescent Way Apt 203Norfolk, VA 23513-1410 · (757) 761-0497
Phone(757) 971-7719
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 23, 2024
NPPES CertifiedApril 23, 2024
✔ NPI 1316792245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024190036
2100 EXECUTIVE DR STE B, Hampton, VA 23666
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeanette Shante Glenn Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42796625
PECOS Enrollment IDI20260114000124
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 Jeanette Glenn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Alliance Medical Team LLC
120 mi
Internal Medicine
2300 OPITZ BLVD
Woodbridge, VA 22191
  • Reassigned Medicare billing, Virginia enrollment
  • 34 clinicians in this Medicare group
NPI 1417792599 (346) 220-3534

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 23666 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 3

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

HAMPTON ROADS WELLNESS CENTER LLC
Nurse Practitioner (Family)
2100 EXECUTIVE DR STE B
HAMPTON, VA 23666
Hampton City (757) 904-3319
DR. DEBRA F CHINNERY EDD, FNP, BC
Nurse Practitioner
2100 EXECUTIVE DR STE B
HAMPTON, VA 23666
Hampton City (757) 826-1600
SHEREE SAVAGE-ARTIS
Nurse Practitioner (Psychiatric/Mental Health)
2100 EXECUTIVE DR STE B
HAMPTON, VA 23666
Hampton City (757) 303-7546

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 Jeanette Glenn's NPI number?

The NPI number for Jeanette Glenn is 1316792245. It was assigned to this individual provider in the NPPES registry on April 23, 2024.

Where is Jeanette Glenn located?

Jeanette Glenn practices at 2100 Executive Dr Ste B, Hampton, VA 23666. The listed phone number is (757) 971-7719.

What is Jeanette Glenn's specialty?

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

Is Jeanette Glenn enrolled in Medicare?

Yes. Jeanette Glenn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeanette Glenn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeanette Glenn reassigns Medicare benefits to Alliance Medical Team LLC (Woodbridge, VA). 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 Jeanette Glenn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeanette Glenn was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.