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

Q: 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.

Q: 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.

Active since May 13, 2024PECOS EnrolledAccepts Medicare Assignment

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: October 18, 2026.

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

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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

Phone(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

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

100 WASHINGTON AVE S STE 1210, Minneapolis, MN 55401

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Glenford U Greenaway 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 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.

Medicare Billing Reassignment

Medicare enrollment records show Glenford Greenaway reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emory Medical Care Foundation Inc

908 mi

Internal Medicine

80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303

Reassigned Medicare billing, Georgia enrollment
2,681 clinicians in this Medicare group

NPI 1063452381 (404) 778-7717

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 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.

GURPREET KAUR APRN

Nurse Practitioner (Family)