Glenn Carl Sutphin, RN - Medicare Nurse Practitioner in Princeton, WV

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Glenn Carl Sutphin, RN is a medicare enrolled "Nurse Practitioner - Family" in Princeton, West Virginia. He graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Princeton Community Hospital Assn. Inc. and his current practice location is 122 12th St, Princeton, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 487-7000.

Glenn Carl Sutphin is licensed to practice in West Virginia (license number 121399) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235953613.

Contact Information

Glenn Carl Sutphin, RN
122 12th St,
Princeton, WV 24740-2312
(304) 487-7000
Not Available

Map and Direction




Provider's Profile

Full NameGlenn Carl Sutphin
GenderMale
SpecialityNurse Practitioner
Experience1 Years
Location122 12th St, Princeton, West Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Glenn Carl Sutphin graduated from nursing school in 2024
  NPI Data:
  • NPI Number: 1235953613
  • Provider Enumeration Date: 11/12/2024
  • Last Update Date: 12/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8921051004
  • Enrollment ID: I20250314002348

Medical Identifiers

Medical identifiers for Glenn Carl Sutphin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235953613NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WF0300XRegistered Nurse - Flight 81976 (West Virginia)Secondary
363LF0000XNurse Practitioner - Family 121399 (West Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Princeton Community HospitalPrinceton, WVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Princeton Community Hospital Assn. Inc.3678482221153

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. Glenn Carl Sutphin allows following entities to bill medicare on his behalf.
Entity NamePrinceton Community Hospital Assn. Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093917643
PECOS PAC ID: 3678482221
Enrollment ID: O20031211000436

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. Glenn Carl Sutphin 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
Glenn Carl Sutphin, RN
203 Union Dr,
Princeton, WV 24740-8822

Ph: (304) 921-0275		Glenn Carl Sutphin, RN
122 12th St,
Princeton, WV 24740-2312

Ph: (304) 487-7000

Reviews and Comments


Nurse Practitioner Nurses in Princeton, WV

Leigh Brooks, APRN FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3997 Beckley Rd, Princeton, WV 24740
Phone: 304-431-5499    Fax: 304-431-3400
Sandra M. Wynn, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 122 12th St, Princeton, WV 24740
Phone: 304-487-7000    
Emily Carver, APRN, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 200 12th Street Ext, Princeton, WV 24740
Phone: 304-425-9541    
Matthew Snuffer, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 122 12th St, Princeton, WV 24740
Phone: 304-487-7000    
Mrs. Sherri Lynn Williams, MSN APN BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 12 Th Street, Princeton, WV 24740
Phone: 304-487-7475    
Mrs. April Anne Christ, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 118 12th Street Ext, Princeton, WV 24740
Phone: 304-487-7936    
Mr. Caleb Jonathon Mcdonald, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 118th Twelfth Street, Princeton, WV 24740
Phone: 304-487-7936    

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.