KATHLEEN GLENN CRNP
NPI 1932738150
Nurse Practitioner - Pediatrics in Lebanon, PA

Q: What is Kathleen Glenn's NPI number?

The NPI number for Kathleen Glenn is 1932738150. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Q: What is Kathleen Glenn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Glenn was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since April 08, 2020PECOS Enrolled

252 S 4TH ST, LEBANON, PA 17042(717) 851-2613(717) 798-3677 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 3, 2025, Apr 8, 2020 (2 updates tracked since 2020).

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About Kathleen Glenn Crnp NPPES

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

KATHLEEN GLENN CRNP (NPI 1932738150) is an individual pediatrics provider in Lebanon, Pennsylvania, licensed in Pennsylvania (SP016649) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1932738150

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameKATHLEEN GLENNCredential: CRNP

Location Address252 S 4TH STLebanon, PA 17042-6111

Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405

Phone(717) 851-2613

Fax(717) 798-3677

Sole ProprietorNo

Enumeration DateApril 8, 2020

Last NPPES UpdateNovember 3, 20252 updates tracked since enumeration

NPPES CertifiedNovember 3, 2025

✔ NPI 1932738150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in PA · SP016649

Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License SP016649 (PA)

252 S 4TH ST, Lebanon, PA 17042

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Secondary Practice Locations 5

Location 1147 Gettys StGettysburg, PA 17325-2534 · Phone (717) 851-3884

Location 2112 N 7th StChambersburg, PA 17201-1720 · Phone (717) 851-2613

Location 31701 E Broad StHazleton, PA 18201-5621 · Phone (570) 501-6400

Location 41 Hospital DrLewisburg, PA 17837-9350 · Phone (570) 522-4260

Location 51001 S George StYork, PA 17403-3676 · Phone (717) 851-2613

Other Identifiers 1

Medicaid1037625810001PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Glenn Crnp 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.

Medicare Billing Reassignments

Medicare enrollment records show Kathleen Glenn reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellspan Medical Group

2.9 mi

Family Medicine

101 FAIRVIEW CIR
Lebanon, PA 17042

Reassigned Medicare billing, Pennsylvania enrollment
3,080 clinicians in this Medicare group

NPI 1639620164 (717) 279-7303

Lehigh Valley Physician Group

21 mi

Family Medicine

121 N TULPEHOCKEN ST
Pine Grove, PA 17963

Reassigned Medicare billing, Pennsylvania enrollment
2,895 clinicians in this Medicare group

NPI 1437911807 (570) 345-2345

Evangelical Medical Services Organization

54 mi

Surgery

3 HOSPITAL DR STE 100
Lewisburg, PA 17837

Reassigned Medicare billing, Pennsylvania enrollment
303 clinicians in this Medicare group

NPI 1205928967 (570) 524-5056

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 17042 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

NABA RAJ MAINALI MD

Hospitalist

252 S 4TH ST
LEBANON, PA 17042

Lebanon County (717) 270-4876

MATTHEW JOHN YORTY

Nurse Anesthetist, Certified Registered

252 S 4TH ST
LEBANON, PA 17042

Lebanon County (717) 270-7500

LISA M HELFRICH PA-C

Physician Assistant

252 S 4TH ST, GOOD SAMARITAN HOSPITAL
LEBANON, PA 17042

Lebanon County (717) 270-7688

CLAUDIA BOHDAL

Physician Assistant

252 S 4TH ST
LEBANON, PA 17042

Lebanon County (717) 270-7500

MARCUS ALEXANDER SAUNDERS M.D.

Emergency Medicine

252 S 4TH ST
LEBANON, PA 17042

Lebanon County (717) 270-7688

DR. NINA L ELLIOTT DO

Emergency Medicine

252 S 4TH ST
LEBANON, PA 17042

Lebanon County (717) 270-7688

MRS. WANDA GARRETT PEREZ CRNA

Nurse Anesthetist, Certified Registered

252 S 4TH ST
LEBANON, PA 17042

Lebanon County (717) 270-7500

PRIYANKA SHARMA DO

Hospitalist

252 S 4TH ST
LEBANON, PA 17042

Lebanon County (717) 270-4876

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 Kathleen Glenn's NPI number?

The NPI number for Kathleen Glenn is 1932738150. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Where is Kathleen Glenn located?

Kathleen Glenn practices at 252 S 4th St, Lebanon, PA 17042. The listed phone number is (717) 851-2613.

What is Kathleen Glenn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kathleen Glenn enrolled in Medicare?

Yes. Kathleen Glenn is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kathleen Glenn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Glenn reassigns Medicare benefits to 3 organizations: Wellspan Medical Group (Lebanon, PA), Lehigh Valley Physician Group (Pine Grove, PA) and Evangelical Medical Services Organization (Lewisburg, PA). Each 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 Kathleen Glenn'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 Kathleen Glenn was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.