GLEN ROBERT DOPP JR. DNP, APRN, FNP-BC
NPI 1568827947
Nurse Practitioner - Family in Gallup, NM

Active since December 29, 2015PECOS EnrolledAccepts Medicare Assignment
1901 RED ROCK DR, GALLUP, NM 87301(505) 863-7000 Get Directions Write a Review

NPPES record last updated: March 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 2, 2025, Dec 29, 2015 (2 updates tracked since 2015).

About Glen Robert Dopp Jr. Dnp, Aprn, Fnp-bc NPPES

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

GLEN ROBERT DOPP JR. DNP, APRN, FNP-BC (NPI 1568827947) is an individual family provider in Gallup, New Mexico, licensed in New Mexico (77859) and active in the NPI registry since December 2015. He is enrolled in Medicare PECOS, is affiliated with Rehoboth Mckinley Christian Health Care Services, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1568827947
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameGLEN ROBERT DOPP JR.Credential: DNP, APRN, FNP-BC
Location Address1901 RED ROCK DRGallup, NM 87301-5683
Mailing AddressPo Box 521Deer River, MN 56636-0521 · (218) 301-9265
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 29, 2015
Last NPPES UpdateMarch 2, 20252 updates tracked since enumeration
NPPES CertifiedMarch 2, 2025
NPI 1568827947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in NM · 77859 Licensed in MN · 6398
Also ListedRegistered NurseTaxonomy 163W00000X · License R-229298-4 (MN)
Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X · License R-229298-4 (MN)
Also ListedRegistered Nurse · Home HealthTaxonomy 163WH0200X · License R-229298-4 (MN)
Also ListedRegistered Nurse · Maternal NewbornTaxonomy 163WM0102X · License R-229298-4 (MN)
Also ListedRegistered Nurse · Neonatal, Low-RiskTaxonomy 163WN0003X · License R-229298-4 (MN)
Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License R-229298-4 (MN)
Also ListedRegistered Nurse · Women's Health Care, AmbulatoryTaxonomy 163WW0101X · License R-229298-4 (MN)
Also ListedRegistered Nurse · Obstetric, High-RiskTaxonomy 163WX0002X · License R-229298-4 (MN)
1901 RED ROCK DR, Gallup, NM 87301

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

Glen Robert Dopp Jr. Dnp, Aprn, Fnp-bc 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 ID143756049
PECOS Enrollment IDI20241213003703
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rehoboth Mckinley Christian Health Care Services

Critical Access Hospitals · Gallup, NM
OwnershipVoluntary non-profit - Private
CMS Certification Number321313
Location1901 Red Rock DriveGallup, NM 87301 · Mckinley County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87301 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
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 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
1901 RED ROCK DR
GALLUP, NM 87301
Orthopaedic Surgery
1901 RED ROCK DR
GALLUP, NM 87301
Emergency Medicine
1901 RED ROCK DR
GALLUP, NM 87301
Internal Medicine
1901 RED ROCK DR
GALLUP, NM 87301
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1901 RED ROCK DR
GALLUP, NM 87301
Nurse Anesthetist, Certified Registered
1901 RED ROCK DR
GALLUP, NM 87301
Emergency Medicine
1901 RED ROCK DR
GALLUP, NM 87301
Pediatrics
1901 RED ROCK DR
GALLUP, NM 87301

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 Glen Dopp's NPI number?

The NPI number for Glen Dopp is 1568827947. It was assigned to this individual provider in the NPPES registry on December 29, 2015.

Where is Glen Dopp located?

Glen Dopp practices at 1901 Red Rock Dr, Gallup, NM 87301. The listed phone number is (505) 863-7000.

What is Glen Dopp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Glen Dopp enrolled in Medicare?

Yes. Glen Dopp 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 Glen Dopp affiliated with any hospitals?

According to CMS data, Glen Dopp is affiliated with Rehoboth Mckinley Christian Health Care Services.

When was this NPI record last updated?

The NPPES record for Glen Dopp was last updated on March 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.