DR. KENZIE LYNN GLASSBURN MD
NPI 1467026195
Obstetrics & Gynecology in Carbondale, IL
About Dr. Kenzie Lynn Glassburn Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENZIE LYNN GLASSBURN MD (NPI 1467026195) is an individual obstetrics & gynecology provider in Carbondale, Illinois, licensed in Illinois (036175758) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and maintains a secondary practice location in Anna.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Dr. Kenzie Lynn Glassburn Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kenzie Glassburn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Carbondale, IL 62901
- Reassigned Medicare billing, Illinois enrollment
- 52 clinicians in this Medicare group
Anna, IL 62906
- Reassigned Medicare billing, Illinois enrollment
- 28 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Herrin Hospital
Acute Care Hospitals · Herrin, ILMemorial Hospital Of Carbondale
Acute Care Hospitals · Carbondale, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Kenzie Glassburn's NPI number?
The NPI number for Kenzie Glassburn is 1467026195. It was assigned to this individual provider in the NPPES registry on May 17, 2021.
Where is Kenzie Glassburn located?
Kenzie Glassburn practices at 101 S Wall St, Carbondale, IL 62901. The listed phone number is (618) 519-9200.
What is Kenzie Glassburn's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Kenzie Glassburn enrolled in Medicare?
Yes. Kenzie Glassburn 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.
Which organizations bill Medicare for Kenzie Glassburn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenzie Glassburn reassigns Medicare benefits to 2 organizations: Shawnee Health Service And Development Corp (Carbondale, IL) and Rural Health, Inc. (Anna, IL). Each 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 Kenzie Glassburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kenzie Glassburn affiliated with any hospitals?
According to CMS data, Kenzie Glassburn is affiliated with Herrin Hospital and Memorial Hospital Of Carbondale.
When was this NPI record last updated?
The NPPES record for Kenzie Glassburn was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Kenzie Lynn Glassburn, MD · NPI 1467026195
Obstetrics & Gynecology physician in Carbondale, Illinois. Individual provider, active in the CMS NPPES registry since May 17, 2021.
## Identity
- **NPI:** 1467026195 (Entity type: Individual)
- **Enumerated:** May 17, 2021
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 036175758 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 S WALL ST, Carbondale, IL 62901-3021
- **Phone:** (618) 519-9200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Shawnee Health Service And Development Corp (NPI 1457381774, Carbondale, IL); Rural Health, Inc. (NPI 1982666384, Anna, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Indiana University School Of Medicine, class of 2025
## Record status
- **NPPES last updated:** April 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1467026195) · Data from the CMS NPPES public registry.