Glen Wiley, APRN, FNP-C - Medicare Nurse Practitioner in Banning, CA

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Glen Wiley, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Banning, California. He graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice The Urgent Care Associates Of Texas Pllc and his current practice location is 11555 Potrero Rd, Banning, California. You can reach out to his office (for appointments etc.) via phone at (251) 849-4761.

Glen Wiley is licensed to practice in California (license number 95017368) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1154905982.

Contact Information

Glen Wiley, APRN, FNP-C
11555 Potrero Rd,
Banning, CA 92220-6946
(251) 849-4761
Not Available

Map and Direction




Provider's Profile

Full NameGlen Wiley
GenderMale
SpecialityNurse Practitioner
Experience7 Years
Location11555 Potrero Rd, Banning, California
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Glen Wiley graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1154905982
  • Provider Enumeration Date: 05/07/2021
  • Last Update Date: 07/14/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1052715349
  • Enrollment ID: I20210809002888

Medical Identifiers

Medical identifiers for Glen Wiley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154905982NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1031197 (Texas)Secondary
363LF0000XNurse Practitioner - Family 2025038559 (Missouri)Secondary
363LF0000XNurse Practitioner - Family 95017368 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Urgent Care Associates Of Texas Pllc135566579522

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Glen Wiley allows following entities to bill medicare on his behalf.
Entity NameWoodlands Lone Star Emergency Physicians Group PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679994941
PECOS PAC ID: 5294057444
Enrollment ID: O20141125002147
Entity NameThe Urgent Care Associates of Texas PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235539933
PECOS PAC ID: 1355665795
Enrollment ID: O20150113002159
Entity NameRiverside-san Bernardino County Indian Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174676670
PECOS PAC ID: 4789867805
Enrollment ID: O20150508001121

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Glen Wiley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Glen Wiley, APRN, FNP-C
1647 W Ponderosa Way,
Upland, CA 91784-7454

Ph: (909) 697-6769		Glen Wiley, APRN, FNP-C
11555 Potrero Rd,
Banning, CA 92220-6946

Ph: (251) 849-4761

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.