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ANDREW GLIDEWELL PA-C
NPI 1477049781
Physician Assistant - Surgical in Travis Afb, CA

Active since July 10, 2018PECOS Enrolled
101 BODIN CIR, TRAVIS AFB, CA 94535(707) 423-5278 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2026, Jan 31, 2023, Jul 10, 2018 (3 updates tracked since 2018).

About Andrew Glidewell Pa-c NPPES

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

ANDREW GLIDEWELL PA-C (NPI 1477049781) is an individual surgical provider in Travis Afb, California, licensed in California (59785) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477049781
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameANDREW GLIDEWELLCredential: PA-C
Location Address101 BODIN CIRTravis Afb, CA 94535-1809
Mailing Address101 Bodin CirTravis Afb, CA 94535-1809 · (707) 423-5278
Phone(707) 423-5278
Sole ProprietorNo
Enumeration DateJuly 10, 2018
Last NPPES UpdateFebruary 4, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1477049781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CA · 59785
101 BODIN CIR, Travis Afb, CA 94535
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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 (PECOS)

Andrew Glidewell Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

EDWARD SEAN RODRIGUEZ I.D.M.T
Military Health Care Provider (Independent Duty Medical Technicians)
101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-5478
KENDRA MONICA HILL PT
Physical Therapist
101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-3000
TIMOTHY GUENTHER MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-3000
ANGELA GIESE MD
Surgery (Vascular Surgery)
101 BODIN CIR
FAIRFIELD, CA 94535
Solano County (707) 423-3000
DR. JOSCELYN D. A. C. AQUININGOC PHARMD
Pharmacist
101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (626) 297-8649
CATHERINE CELINE BRANSTETTER
Dentist (General Practice)
101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-7085
MEGAN ELIZABETH LEE MD
Student in an Organized Health Care Education/Training Program
101 BODIN CIR
FAIRFIELD, CA 94535
Solano County (707) 423-3000
DR. STEVEN DANIEL DEMARTINI M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-3000

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 Andrew Glidewell's NPI number?

The NPI number for Andrew Glidewell is 1477049781. It was assigned to this individual provider in the NPPES registry on July 10, 2018.

Where is Andrew Glidewell located?

Andrew Glidewell practices at 101 Bodin Cir, Travis Afb, CA 94535. The listed phone number is (707) 423-5278.

What is Andrew Glidewell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Andrew Glidewell enrolled in Medicare?

Yes. Andrew Glidewell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrew Glidewell was last updated on February 4, 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.