HEATHER LYNN GLASS APRN
NPI 1407479702
Nurse Practitioner - Family in Kennesaw, GA

Q: What is Heather Glass's NPI number?

The NPI number for Heather Glass is 1407479702. It was assigned to this individual provider in the NPPES registry on May 20, 2020.

Q: What is Heather Glass's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Heather Glass was last updated on May 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 20, 2020PECOS EnrolledAccepts Medicare Assignment

2782 N COBB PKWY, KENNESAW, GA 30152(866) 389-2727(401) 216-2854 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 20, 2026, Oct 4, 2022, Jul 6, 2022 and 1 more (4 updates tracked since 2020).

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About Heather Lynn Glass Aprn NPPES

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

HEATHER LYNN GLASS APRN (NPI 1407479702) is an individual family provider in Kennesaw, Georgia, licensed in Georgia (GA-NP000169) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1407479702

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameHEATHER LYNN GLASSCredential: APRN

Location Address2782 N COBB PKWYKennesaw, GA 30152-3472

Mailing Address2782 N Cobb PkwyKennesaw, GA 30152-3472 · (866) 389-2727 · Fax (401) 216-2854

Phone(866) 389-2727

Fax(401) 216-2854

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateMay 20, 2020

Last NPPES UpdateMay 20, 20264 updates tracked since enumeration

NPPES CertifiedMay 20, 2026

✔ NPI 1407479702 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

Licenses✔ Licensed in GA · GA-NP000169✔ Licensed in CT · 9688✔ Licensed in CA · 95308498✔ Licensed in VA · 24192294✔ Licensed in NY · 348426✔ Licensed in FL · 11007189✔ Licensed in TX · 1048914

2782 N COBB PKWY, Kennesaw, GA 30152

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Heather Lynn 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 ID5496159857

PECOS Enrollment IDI20220721002559, I20220809000966, I20250401003358

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 30152 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

TYLER ZACK

Pharmacist