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KELLY ANN GLAS FNP-C
NPI 1790410033
Nurse Practitioner - Primary Care in La Mesa, CA

Active since July 20, 2022PECOS Enrolled
8851 CENTER DR STE 408, LA MESA, CA 91942(619) 583-1174 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1790410033
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameKELLY ANN GLASCredential: FNP-C
Location Address8851 CENTER DR STE 408La Mesa, CA 91942-3076
Mailing Address14111 Chicarita Creek RdSan Diego, CA 92128-3611 · (858) 437-2077
Phone(619) 583-1174
Sole ProprietorNo
Enumeration DateJuly 20, 2022
NPPES CertifiedJune 23, 2022
✔ NPI 1790410033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · 95021834
8851 CENTER DR STE 408, La Mesa, CA 91942
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Ann Glas Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
59 services57 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
20 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

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.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA DOLEY ADAMS DNP, FNP-C, CPNP-PC
Nurse Practitioner (Family)
8851 CENTER DR STE 408
LA MESA, CA 91942
San Diego County (619) 583-1174
CHELSEA PROVENZANO MSN, FNP- C
Nurse Practitioner (Family)
8851 CENTER DR STE 408
LA MESA, CA 91942
San Diego County (619) 583-1174
DR. CORAL ROSEBERRY DNP, FNP, AGNP
Nurse Practitioner (Family)
8851 CENTER DR STE 408
LA MESA, CA 91942
San Diego County (619) 583-1174
MRS. MANDEEP KAUR JAGGI NP
Nurse Practitioner (Family)
8851 CENTER DR STE 408
LA MESA, CA 91942
San Diego County (619) 583-1174

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.

When was this NPI record last updated?

The NPPES record for Kelly Glas was last updated on July 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.