Nikita Glover, FNP is a medicare enrolled "Nurse Practitioner - Family" in Waddington, New York. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Canton-potsdam Hospital and her current practice location is
4 Montgomery Hts, Waddington, New York. You can reach out to her office (for appointments etc.) via phone at
(153) 887-8723.
Nikita Glover is licensed to practice in New York (license number 339790) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972985612.
Provider's Profile
| Full Name | Nikita Glover |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 4 Montgomery Hts, Waddington, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nikita Glover graduated from nursing school in 2015
NPI Data:
- NPI Number: 1972985612
- Provider Enumeration Date: 06/18/2015
- Last Update Date: 09/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 8325338775
- Enrollment ID: I20160526001357
Medical Identifiers
Medical identifiers for Nikita Glover such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972985612 | NPI | - | NPPES |
| 04179508 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 339790 (New York) | Primary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | 339790 (New York) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Canton-potsdam Hospital | 6204827280 | 199 |
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. Nikita Glover allows following entities to bill medicare on her behalf.
| Entity Name | Canton-potsdam Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568548782
PECOS PAC ID: 6204827280
Enrollment ID: O20040519000761 |
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| Entity Name | Healey Medical Practice, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457568792
PECOS PAC ID: 2668541806
Enrollment ID: O20080514000564 |
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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. Nikita Glover 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 Address | Practice Location Address |
|---|
Nikita Glover, FNP
4 Montgomery Hts,
Waddington, NY 13694-7712
Ph: (153) 887-8723 | Nikita Glover, FNP
4 Montgomery Hts,
Waddington, NY 13694-7712
Ph: (153) 887-8723 |
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