GLEN S BLAIR CNP
NPI 1629047873
Nurse Practitioner - Adult Health in Wellesley, MA
About Glen S Blair Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GLEN S BLAIR CNP (NPI 1629047873) is an individual adult health provider in Wellesley, Massachusetts, licensed in Massachusetts (RN157507) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Dorchester.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Glen S Blair Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Glen Blair reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Melrose, MA 02176
- Reassigned Medicare billing, Massachusetts enrollment
- 176 clinicians in this Medicare group
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02481 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Blair's NPI number?
The NPI number for Glen Blair is 1629047873. It was assigned to this individual provider in the NPPES registry on March 17, 2006.
Where is Glen Blair located?
Glen Blair practices at 230 Worcester St, Wellesley, MA 02481. The listed phone number is (781) 431-5255.
What is Glen Blair's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Glen Blair enrolled in Medicare?
Yes. Glen Blair is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Glen Blair's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Glen Blair reassigns Medicare benefits to Massachusetts Acute Care Specialists PC (Melrose, MA). 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 Glen Blair'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 Glen Blair was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 S Blair, CNP · NPI 1629047873
Adult Health physician in Wellesley, Massachusetts. Individual provider, active in the CMS NPPES registry since March 17, 2006.
## Identity
- **NPI:** 1629047873 (Entity type: Individual)
- **Enumerated:** March 17, 2006
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** RN157507 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 230 WORCESTER ST, Wellesley, MA 02481-5420
- **Phone:** (781) 431-5255 · **Fax:** (781) 431-5329
## 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:** Massachusetts Acute Care Specialists PC (NPI 1306134812, Melrose, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 28, 2023
- **Other identifiers:** Other NP2733 (MA); Medicaid 110018170A (MA); Other C318 (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1629047873) · Data from the CMS NPPES public registry.