KELLY ANN GLAS FNP-C
NPI 1790410033
Nurse Practitioner - Primary Care in La Mesa, CA
About Kelly Ann Glas Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY ANN GLAS FNP-C (NPI 1790410033) is an individual primary care provider in La Mesa, California, licensed in California (95021834) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly Ann Glas Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Glas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92120
- Reassigned Medicare billing, California enrollment
- 7 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 3
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 91942 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LA MESA, CA 91942
LA MESA, CA 91942
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 Kelly Glas's NPI number?
The NPI number for Kelly Glas is 1790410033. It was assigned to this individual provider in the NPPES registry on July 20, 2022.
Where is Kelly Glas located?
Kelly Glas practices at 8851 Center Dr Ste 408, La Mesa, CA 91942. The listed phone number is (619) 583-1174.
What is Kelly Glas's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Kelly Glas enrolled in Medicare?
Yes. Kelly Glas is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelly Glas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Glas reassigns Medicare benefits to Majid Shahbaz MD Inc (San Diego, CA). 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 Kelly Glas'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 Kelly Glas was last updated on July 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kelly Ann Glas, FNP-C · NPI 1790410033
Primary Care physician in La Mesa, California. Individual provider, active in the CMS NPPES registry since July 20, 2022.
## Identity
- **NPI:** 1790410033 (Entity type: Individual)
- **Enumerated:** July 20, 2022
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 95021834 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 8851 CENTER DR STE 408, La Mesa, CA 91942-3076
- **Phone:** (619) 583-1174
## 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:** Majid Shahbaz MD Inc (NPI 1295839934, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 20, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1790410033) · Data from the CMS NPPES public registry.