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MARA GLANTZ
NPI 1619106689
Nurse Practitioner - Family in Stillwater, MN

Active since July 10, 2009PECOS Enrolled
14071 30TH ST N, STILLWATER, MN 55082(651) 399-9933 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mara Glantz NPPES

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

MARA GLANTZ (NPI 1619106689) is an individual family provider in Stillwater, Minnesota, licensed in Minnesota (R 180834-0) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dublin, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1619106689
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARA GLANTZ
Location Address14071 30TH ST NStillwater, MN 55082-1319
Mailing Address14071 30th St NStillwater, MN 55082-1319 · (651) 399-9933
Phone(651) 399-9933
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 10, 2009
Last NPPES UpdateMarch 9, 2026
NPPES CertifiedMarch 9, 2026
✔ NPI 1619106689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MN · R 180834-0
14071 30TH ST N, Stillwater, MN 55082
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Secondary Practice Location 1

Location 16479 Reflections Dr Ste 230Dublin, OH 43017-2366 · Phone (380) 266-2377 ext. 99933

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mara Glantz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294872529
PECOS Enrollment IDI20260310004253
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55082 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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 Mara Glantz's NPI number?

The NPI number for Mara Glantz is 1619106689. It was assigned to this individual provider in the NPPES registry on July 10, 2009.

Where is Mara Glantz located?

Mara Glantz practices at 14071 30th St N, Stillwater, MN 55082. The listed phone number is (651) 399-9933.

What is Mara Glantz's specialty?

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

Is Mara Glantz enrolled in Medicare?

Yes. Mara Glantz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mara Glantz was last updated on March 9, 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.