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 Memorial Hospital Of Carbondale, and is a graduate of Indiana University School Of Medicine (2025).
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
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial 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 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CARBONDALE, IL 62901
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.
Is Kenzie Glassburn affiliated with any hospitals?
According to CMS data, Kenzie Glassburn is affiliated with 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 4 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
- **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.