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Mara Glantz

NPI 1619106689ActiveIndividual· Nurse Practitioner, Family· Stillwater, MN

Nurse Practitioner, Family in Stillwater, Minnesota, licensed in MN, with an NPI issued in July 2009. Enrolled in Medicare as practitioner - nurse practitioner.

Overview

NPI1619106689
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJul 10, 2009
Last updated in NPPESMar 9, 2026
Certified by providerMar 9, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000XR 180834-0MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (OH)

Medicare sources and data years

Education and affiliations

Graduation year2009
Medicare specialtyNurse Practitioner

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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