KELSEY MARIE GLIDEWELL PA-C
NPI 1366951253
Physician Assistant - Surgical in Colton, CA
About Kelsey Marie Glidewell Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSEY MARIE GLIDEWELL PA-C (NPI 1366951253) is an individual surgical provider in Colton, California, licensed in California (54919) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
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
Kelsey Marie Glidewell Pa-c 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.
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.
COLTON, CA 92324
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 Kelsey Glidewell's NPI number?
The NPI number for Kelsey Glidewell is 1366951253. It was assigned to this individual provider in the NPPES registry on September 24, 2017.
Where is Kelsey Glidewell located?
Kelsey Glidewell practices at 400 N Pepper Ave, Colton, CA 92324. The listed phone number is (909) 580-6170.
What is Kelsey Glidewell's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Kelsey Glidewell enrolled in Medicare?
Yes. Kelsey Glidewell 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.
When was this NPI record last updated?
The NPPES record for Kelsey Glidewell was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kelsey Marie Glidewell, PA-C · NPI 1366951253
Surgical physician in Colton, California. Individual provider, active in the CMS NPPES registry since September 24, 2017.
## Identity
- **NPI:** 1366951253 (Entity type: Individual)
- **Enumerated:** September 24, 2017
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 54919 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 N PEPPER AVE, Colton, CA 92324-1801
- **Phone:** (909) 580-6170
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** December 8, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1366951253) · Data from the CMS NPPES public registry.