GLEN ROSE HEALTHCARE, INC
NPI 1568509586
Family Medicine in Glen Rose, TX
About Glen Rose Healthcare, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GLEN ROSE HEALTHCARE, INC (NPI 1568509586) is a healthcare organization registered as a family medicine in Glen Rose, Texas and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through January 13, 2027 and lists Ray Reynolds, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Glen Rose Healthcare, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Glen Rose Healthcare, Inc, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (15)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D1094255
Glen Rose Healthcare, Inc · Glen Rose, TXFrequently 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 Glen Rose Healthcare, Inc's NPI number?
The NPI number for Glen Rose Healthcare, Inc is 1568509586. It was assigned to this organization in the NPPES registry on January 31, 2007.
Where is Glen Rose Healthcare, Inc located?
Glen Rose Healthcare, Inc is located at 409 Glenwood St 500, Glen Rose, TX 76043. The listed phone number is (254) 897-2202.
What is Glen Rose Healthcare, Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Glen Rose Healthcare, Inc enrolled in Medicare?
Yes. Glen Rose Healthcare, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Glen Rose Healthcare, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 6 Medicare specialties reassign their Medicare billing to Glen Rose Healthcare, Inc. A 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 the clinician's services. The largest specialties are Family Practice (6), Internal Medicine (3) and Nurse Practitioner (2). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Glen Rose Healthcare, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D1094255) is associated with this NPI, valid through January 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Glen Rose Healthcare, Inc accept?
Health plans from Molina Healthcare and WellPoint list Glen Rose Healthcare, Inc 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 Glen Rose Healthcare, Inc was last updated on March 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Glen Rose Healthcare, Inc · NPI 1568509586
Family Medicine organization in Glen Rose, Texas. Organization record, active in the CMS NPPES registry since January 31, 2007.
## Identity
- **NPI:** 1568509586 (Entity type: Organization)
- **Enumerated:** January 31, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Ray Reynolds, CEO
## Practice location
- **Address:** 409 GLENWOOD ST, 500, Glen Rose, TX 76043-4933
- **Phone:** (254) 897-2202 · **Fax:** (254) 897-1638
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 15 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (6), Internal Medicine (3), Nurse Practitioner (2); 6 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 20, 2017
- **Other identifiers:** Medicare NSC 6347550001 (TX); Medicare PIN 00X771 (TX); Medicaid 191011901 (TX)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1568509586) · Data from the CMS NPPES public registry.