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MR. GLENN RAY WHITE CRNA
NPI 1497058259
Nurse Anesthetist, Certified Registered in West Union, IA

Active since December 15, 2010PECOS EnrolledAccepts Medicare Assignment
112 JEFFERSON ST, WEST UNION, IA 52175(563) 422-3811 Get Directions Write a Review

NPPES record last updated: October 11, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Glenn Ray White Crna NPPES

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

MR. GLENN RAY WHITE CRNA (NPI 1497058259) is an individual nurse anesthetist, certified registered in West Union, Iowa, licensed in Iowa (D130493) and active in the NPI registry since December 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Columbia, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1497058259
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. GLENN RAY WHITECredential: CRNA
Location Address112 JEFFERSON STWest Union, IA 52175-1022
Mailing AddressPo Box 7687Columbia, MO 65205-7687 · (573) 882-2259
Phone(563) 422-3811
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateDecember 15, 2010
Last NPPES UpdateOctober 11, 2018
✔ NPI 1497058259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in IA · D130493✔ Licensed in MO · 2011002332
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
112 JEFFERSON ST, West Union, IA 52175
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Secondary Practice Location 1

Location 11 Hospital DrColumbia, MO 65201-5276 · Phone (573) 882-2568 · Fax (573) 882-2226

Accepted Insurance

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

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

Mr. Glenn Ray White Crna 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 ID9234312042
PECOS Enrollment IDI20160816002091
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Glenn White reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Palmer Lutheran Health Center, Inc.
Same address
Critical Access
112 JEFFERSON STREET
West Union, IA 52175
  • Reassigned Medicare billing, Iowa enrollment
  • 83 clinicians in this Medicare group
NPI 1598765398 (563) 422-3811
Aspirus Stevens Point Hospital & Clinics, Inc.
155 mi
General Acute Care Hospital
900 ILLINOIS AVE
Stevens Point, WI 54481
  • Reassigned Medicare billing, Wisconsin enrollment
  • 619 clinicians in this Medicare group
NPI 1538112230 (715) 346-5000
Gastrointestinal Associates S.C.
175 mi
Gastroenterology
411 WESTWOOD DR
Wausau, WI 54401
  • Reassigned Medicare billing, Wisconsin enrollment
  • 54 clinicians in this Medicare group
NPI 1760546949 (715) 847-2558
Midwest Alliance Services LLC
175 mi
Nurse Anesthetist, Certified Registered
800 N. 1ST ST.
Wausau, WI 54403
  • Reassigned Medicare billing, Wisconsin enrollment
  • 13 clinicians in this Medicare group
NPI 1336612795 (715) 261-8500
St. Clare Memorial Hospital, Inc.
218 mi
Surgery
900 S WEBSTER AVE
Green Bay, WI 54301
  • Reassigned Medicare billing, Wisconsin enrollment
  • 216 clinicians in this Medicare group
NPI 1093173791 (920) 965-7411

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
21 services21 patients
Anesthesia for retinal surgery 00145
Anesthesia for retinal surgery involves using medications to numb your eye and surrounding area. This prevents pain and discomfort during the procedure. You may also receive medication to help you relax. The anesthesia can be local (just your eye) or general (you're asleep).
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52175 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

MR. RICHARD YNGVE JACOBSON JR. CRNA
Nurse Anesthetist, Certified Registered
112 JEFFERSON ST
WEST UNION, IA 52175
Fayette County (563) 422-3811
BRANDY STRUB
Dietitian, Registered
112 JEFFERSON ST
WEST UNION, IA 52175
Fayette County (563) 422-3811
BARRY SPREEN CRNA
Nurse Anesthetist, Certified Registered
112 JEFFERSON ST
WEST UNION, IA 52175
Fayette County (319) 422-3811
KEISHA FORMANEK COTA/L
Occupational Therapy Assistant
112 JEFFERSON ST
WEST UNION, IA 52175
Fayette County (563) 422-3811
MRS. KENDRA ANN SEITZ NP
Nurse Practitioner (Psychiatric/Mental Health)
112 JEFFERSON ST
WEST UNION, IA 52175
Fayette County (563) 422-3811
HOLIDAY JUDY KUHSE LPTA
Physical Therapy Assistant
112 JEFFERSON ST
WEST UNION, IA 52175
Fayette County (563) 422-9729
VICTORIA WATTS COTA/L
Occupational Therapy Assistant
112 JEFFERSON ST
WEST UNION, IA 52175
Fayette County (563) 422-3811
CLINTON SAMUEL STEVE WEBB NP
Nurse Practitioner (Psychiatric/Mental Health)
112 JEFFERSON ST
WEST UNION, IA 52175
Fayette County (563) 422-3811

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 Glenn White's NPI number?

The NPI number for Glenn White is 1497058259. It was assigned to this individual provider in the NPPES registry on December 15, 2010.

Where is Glenn White located?

Glenn White practices at 112 Jefferson St, West Union, IA 52175. The listed phone number is (563) 422-3811.

What is Glenn White's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Glenn White enrolled in Medicare?

Yes. Glenn White 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 Glenn White's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glenn White reassigns Medicare benefits to 5 organizations: Palmer Lutheran Health Center, Inc. (West Union, IA), Aspirus Stevens Point Hospital & Clinics, Inc. (Stevens Point, WI), Gastrointestinal Associates S.C. (Wausau, WI), Midwest Alliance Services LLC (Wausau, WI) and St. Clare Memorial Hospital, Inc. (Green Bay, WI). 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 Glenn White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Glenn White accept?

Health plans from Anthem Blue Cross and Blue Shield list Glenn White as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Glenn White was last updated on October 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.