MARA GLANTZ
NPI 1619106689
Nurse Practitioner - Family in Stillwater, MN
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
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mara Glantz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mara Glantz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dublin, OH 43017
- Reassigned Medicare billing, Ohio enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organization bills Medicare for Mara Glantz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mara Glantz reassigns Medicare benefits to Navita Health Inc (Dublin, OH). The 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 Mara Glantz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 7 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.
# Mara Glantz · NPI 1619106689
Family physician in Stillwater, Minnesota. Individual provider, active in the CMS NPPES registry since July 10, 2009.
## Identity
- **NPI:** 1619106689 (Entity type: Individual)
- **Enumerated:** July 10, 2009
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R 180834-0 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 14071 30TH ST N, Stillwater, MN 55082-1319
- **Phone:** (651) 399-9933
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Navita Health Inc (NPI 1205700473, Dublin, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** March 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1619106689) · Data from the CMS NPPES public registry.