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SAMANTHA GLASS PHD LP
NPI 1780977934
Clinical Neuropsychologist in Saint Paul, MN

Active since May 20, 2011PECOS EnrolledAccepts Medicare Assignment
87.63/100
CMS Quality Rating
280 SMITH AVE N STE 450, SAINT PAUL, MN 55102(651) 241-5959 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Glass Phd Lp NPPES

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

SAMANTHA GLASS PHD LP (NPI 1780977934) is an individual clinical neuropsychologist in Saint Paul, Minnesota, licensed in Minnesota (LP5378) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1780977934
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameSAMANTHA GLASSCredential: PHD LP
Location Address280 SMITH AVE N STE 450Saint Paul, MN 55102-2481
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321
Phone(651) 241-5959
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 20, 2011
Last NPPES UpdateJanuary 15, 2025
NPPES CertifiedJanuary 15, 2025
✔ NPI 1780977934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in MN · LP5378
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
280 SMITH AVE N STE 450, Saint Paul, MN 55102
Open in Google Maps ↗

Secondary Practice Location 1

Location 1701 Park Ave # G8Minneapolis, MN 55415-1623 · Phone (612) 873-9936 · Fax (612) 873-1670

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Glass Phd Lp 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 ID1850561135
PECOS Enrollment IDI20110823001050
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.

Areas of Expertise CMS Part B claims 11

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.

Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139
This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.
96 services21 patients
Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139
This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.
90 services21 patients
Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
58 services22 patients
Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
40 services21 patients
Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
22 services22 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
22 services22 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.78
Promoting Interoperability100
Improvement Activities40
Cost71.59

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.

DR. DANIEL BRIAN HURLEY PH.D., LP
Psychologist
280 SMITH AVE N STE 450
SAINT PAUL, MN 55102
Ramsey County (651) 241-5959
RACHEL RIESGRAF LICSW
Social Worker (Clinical)
280 SMITH AVE N STE 450
SAINT PAUL, MN 55102
Ramsey County (651) 241-5959
MICHAEL SHANE FARRELL D.O.
Psychiatry & Neurology (Psychiatry)
280 SMITH AVE N STE 450
SAINT PAUL, MN 55102
Ramsey County (651) 241-5959
NICOLE VASQUEZ
Social Worker (Clinical)
280 SMITH AVE N STE 450
SAINT PAUL, MN 55102
Ramsey County (651) 241-5959
WESTON VIAL KLOSTER DO
Psychiatry & Neurology (Psychiatry)
280 SMITH AVE N STE 450
SAINT PAUL, MN 55102
Ramsey County (651) 241-5959
VIENNA NOEL MILLER-PRIEVE LICSW
Social Worker (Clinical)
280 SMITH AVE N STE 450
SAINT PAUL, MN 55102
Ramsey County (651) 241-5959
HEATHER ANNE COPE LMFT
Marriage & Family Therapist
280 SMITH AVE N STE 450
SAINT PAUL, MN 55102
Ramsey County (651) 241-5959
TSETEN YOUDON PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
280 SMITH AVE N STE 450
SAINT PAUL, MN 55102
Ramsey County (651) 241-5959

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 Samantha Glass's NPI number?

The NPI number for Samantha Glass is 1780977934. It was assigned to this individual provider in the NPPES registry on May 20, 2011.

Where is Samantha Glass located?

Samantha Glass practices at 280 Smith Ave N Ste 450, Saint Paul, MN 55102. The listed phone number is (651) 241-5959.

What is Samantha Glass's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Samantha Glass enrolled in Medicare?

Yes. Samantha Glass is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Samantha Glass affiliated with any hospitals?

According to CMS data, Samantha Glass is affiliated with Allina United Hospital.

When was this NPI record last updated?

The NPPES record for Samantha Glass was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.