MR. GLENFORD U GREENAWAY
NPI 1720836943
Nurse Practitioner - Psychiatric/Mental Health in Minneapolis, MN

Active since May 13, 2024PECOS Enrolled
100 WASHINGTON AVE S STE 1210, MINNEAPOLIS, MN 55401(866) 492-5336 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 10, 2025, May 13, 2024 (2 updates tracked since 2024).

About Mr. Glenford U Greenaway NPPES

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

MR. GLENFORD U GREENAWAY (NPI 1720836943) is an individual psychiatric/mental health provider in Minneapolis, Minnesota, licensed in Georgia (APRN-NP296673) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1720836943
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. GLENFORD U GREENAWAY
Location Address100 WASHINGTON AVE S STE 1210Minneapolis, MN 55401-2511
Mailing Address100 Washington Ave S Ste 1210Minneapolis, MN 55401-2511 · (866) 492-5336
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 13, 2024
Last NPPES UpdateNovember 10, 20252 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
NPI 1720836943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in GA · APRN-NP296673
100 WASHINGTON AVE S STE 1210, Minneapolis, MN 55401

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Glenford U Greenaway is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507358710
PECOS Enrollment IDI20251125002299
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 55401 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.

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.

Nurse Practitioner (Family)
100 WASHINGTON AVE S STE 1210
MINNEAPOLIS, MN 55401
Registered Nurse
100 WASHINGTON AVE S STE 1210
MINNEAPOLIS, MN 55401
Student in an Organized Health Care Education/Training Program
100 WASHINGTON AVE S STE 1210
MINNEAPOLIS, MN 55401
Student in an Organized Health Care Education/Training Program
100 WASHINGTON AVE S STE 1210
MINNEAPOLIS, MN 55401
Nurse Practitioner (Family)
100 WASHINGTON AVE S STE 1210
MINNEAPOLIS, MN 55401
Nurse Practitioner (Psychiatric/Mental Health)
100 WASHINGTON AVE S STE 1210
MINNEAPOLIS, MN 55401
Nurse Practitioner (Family)
100 WASHINGTON AVE S STE 1210
MINNEAPOLIS, MN 55401
Nurse Practitioner (Family)
100 WASHINGTON AVE S STE 1210
MINNEAPOLIS, MN 55401

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 Glenford Greenaway's NPI number?

The NPI number for Glenford Greenaway is 1720836943. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Where is Glenford Greenaway located?

Glenford Greenaway practices at 100 Washington Ave S Ste 1210, Minneapolis, MN 55401. The listed phone number is (866) 492-5336.

What is Glenford Greenaway's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Glenford Greenaway enrolled in Medicare?

Yes. Glenford Greenaway is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Glenford Greenaway was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.