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ELLEN GLATZ
NPI 1407727126
Physician Assistant in Moosic, PA

Active since September 16, 2025PECOS EnrolledAccepts Medicare Assignment
340 MONTAGE MOUNTAIN RD, MOOSIC, PA 18507(570) 346-3686 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ellen Glatz NPPES

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

ELLEN GLATZ (NPI 1407727126) is an individual physician assistant in Moosic, Pennsylvania and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1407727126
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameELLEN GLATZ
Location Address340 MONTAGE MOUNTAIN RDMoosic, PA 18507-1707
Mailing Address340 Montage Mountain RdMoosic, PA 18507-1707 · (570) 346-3686
Phone(570) 346-3686
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 16, 2025
NPPES CertifiedSeptember 12, 2025
✔ NPI 1407727126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
340 MONTAGE MOUNTAIN RD, Moosic, PA 18507
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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

Ellen Glatz 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 ID1951899236
PECOS Enrollment IDI20251020000488
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 18507 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 20

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

MRS. AMANDA LYN FIDIAM PA-C
Physician Assistant (Medical)
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Lackawanna County (570) 346-3686
JESSICA MCDONOUGH MS, NCC, LPC
Counselor (Professional)
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Lackawanna County (570) 346-3686
FRANCIELE DACRUZ LAPC
Counselor (Professional)
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Lackawanna County (570) 346-3686
MR. JOSEPH FEISTL PA
Physician Assistant (Medical)
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Lackawanna County (570) 346-3686
LIZA ROSE BEVIGLIA
Physician Assistant
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Lackawanna County (570) 346-3686
MATTHEW VINNACOMBE PA-C
Physician Assistant (Medical)
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Lackawanna County (570) 346-3686
DR. KRISTIE MARIE NARDELL M.D.
Psychiatry & Neurology (Psychiatry)
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Lackawanna County (570) 346-3686
MARIE T ZEDALIS CRNP
Nurse Practitioner (Family)
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Lackawanna County (570) 346-3686

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 Ellen Glatz's NPI number?

The NPI number for Ellen Glatz is 1407727126. It was assigned to this individual provider in the NPPES registry on September 16, 2025.

Where is Ellen Glatz located?

Ellen Glatz practices at 340 Montage Mountain Rd, Moosic, PA 18507. The listed phone number is (570) 346-3686.

What is Ellen Glatz's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ellen Glatz enrolled in Medicare?

Yes. Ellen Glatz 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 Ellen Glatz was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.