GARY B GLENN CRNA
NPI 1962579797
Nurse Anesthetist, Certified Registered in Coeur D Alene, ID

Q: What is Gary Glenn's NPI number?

The NPI number for Gary Glenn is 1962579797. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Q: What is Gary Glenn's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Glenn was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 29, 2006Accepts Medicare Assignment

2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814(208) 765-8585 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 29, 2024, Feb 13, 2018 (2 updates tracked since 2018).

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About Gary B Glenn Crna NPPES

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

GARY B GLENN CRNA (NPI 1962579797) is an individual nurse anesthetist, certified registered in Coeur D Alene, Idaho, licensed in Idaho (RNA-706A) and active in the NPI registry since November 2006. He is affiliated with Kootenai Health, maintains a secondary practice location in Fontana, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1962579797

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameGARY B GLENNCredential: CRNA

Location Address2003 KOOTENAI HEALTH WAYCoeur D Alene, ID 83814-6051

Mailing Address2204 Ironwood Pl Ste BCoeur D Alene, ID 83814-2662 · (208) 765-8585 · Fax (000) 000-0000

Phone(208) 765-8585

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateNovember 29, 2006

Last NPPES UpdateApril 29, 20242 updates tracked since enumeration

NPPES CertifiedApril 29, 2024

✔ NPI 1962579797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in ID · RNA-706A✔ Licensed in CA · RN635391

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

2003 KOOTENAI HEALTH WAY, Coeur D Alene, ID 83814

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Secondary Practice Location 1

Location 19961 Sierra AveFontana, CA 92335-6720 · Phone (909) 427-3910

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

Gary B Glenn Crna 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 ID4183704091

PECOS Enrollment IDI20080104000375

Medicare Billing Reassignments

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

Anesthesia Associates Of Coeur D Alene PLLC

0.3 mi

Anesthesiology

101 W IRONWOOD DR STE 250
Coeur D Alene, ID 83814

Reassigned Medicare billing, Idaho enrollment
81 clinicians in this Medicare group

NPI 1962440966 (208) 765-8585

Benewah Community Hospital

28 mi

Rural Health

229 S 7TH ST STE 101 & 300
St Maries, ID 83861

Reassigned Medicare billing, Idaho enrollment
Also billed through NPI 1548320435 (Idaho)
60 clinicians in this Medicare group

NPI 1386632180 (208) 245-2591

Premier Anesthesia Of Richland A Division Of Premier Anesthesia, LLC

153 mi

Anesthesiology

888 SWIFT BLVD
Richland, WA 99352

Reassigned Medicare billing, Washington enrollment
172 clinicians in this Medicare group

NPI 1013940253 (770) 643-5501

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 6

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

54 services54 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

37 services36 patients

Anesthesia for exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

36 services36 patients

Insertion of artery tube for blood sampling or infusion through skin 36620

This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.

13 services13 patients

Anesthesia for procedure on small and large bowel using an endoscope 00813

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

12 services12 patients

Anesthesia for other procedure on lower abdomen 00840

Anesthesia for a lower abdomen procedure involves medication to eliminate pain during surgery. You might be awake but relaxed and pain-free, or you may be completely unconscious. It's administered to ensure comfort and safety throughout the operation.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Kootenai Health

Acute Care Hospitals · Coeur D'alene, ID

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number130049

Location2003 Kootenai Health WayCoeur D'alene, ID 83814 · Kootenai County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83814 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

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

Most-billed visit code 99213

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.

CHRISTINA CRABTREE M.D.

Emergency Medicine