Deactivated NPI 1255767513 Deactivated / Inactive NPI Male Practitioner

Nicholas Ryan Glaze , NP

Nurse Practitioner • Cedar Hill, TX

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Nicholas Glaze has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 18, 2013

NPI Deactivation Date July 09, 2026

Total Practice Duration ~13 Years of Practice (2013 – 2026)

Professional Overview & Biography Verified Profile Summary

Nicholas Glaze, NP was a registered Nurse Practitioner practicing in Cedar Hill, TX. Throughout an active medical career spanning 13 years, Nicholas Glaze provided care at the practice location at 345 N HIGHWAY 67 until profile deactivation on 2026-07-09.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, detection test by immunoassay with direct visual observation for influenza virus. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

345 N Highway 67

Cedar Hill, TX 751042134

Telephone 9729565300

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Cedar Hill, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 9.7 Yrs

Regional Practice Density

1 Specialists

Practicing in Cedar Hill, TX (4894 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	87	$240.00	$107.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$240.00	$93.24
87804 Detection test by immunoassay with direct visual observation for influenza virus	56	28	$50.00	$16.22
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	46	45	$80.00	$40.55
81003 Automated urinalysis test	24	23	$30.00	$2.20
99213 Established patient office or other outpatient visit, typically 15 minutes	23	23	$225.00	$72.70
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	15	14	$50.00	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	90	90	$240.00	$92.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	55	$240.00	$105.12
87804 Detection test by immunoassay with direct visual observation for influenza virus	42	21	$50.00	$16.22
81003 Automated urinalysis test	26	26	$30.00	$2.20
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$225.00	$70.90
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	20	20	$80.00	$40.55
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	14	13	$50.00	$16.20
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	14	14	$80.00	$34.62
71046 X-ray of chest, 2 views	12	12	$83.71	$23.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	100	94	$80.00	$42.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$240.00	$91.74
99213 Established patient office or other outpatient visit, typically 15 minutes	71	61	$225.00	$70.55
87804 Detection test by immunoassay with direct visual observation for influenza virus	68	34	$50.00	$16.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	31	$240.00	$105.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$300.00	$137.06
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	18	18	$50.00	$16.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	126	111	$80.00	$45.23
J1100 Injection, dexamethasone sodium phosphate, 1 mg	110	12	$10.00	$0.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$240.00	$92.84
99213 Established patient office or other outpatient visit, typically 15 minutes	84	69	$225.00	$73.46
87804 Detection test by immunoassay with direct visual observation for influenza virus	44	22	$50.00	$16.55
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	16	15	$40.00	$11.73
81003 Automated urinalysis test	12	11	$30.00	$2.25
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$225.00	$60.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$240.00	$89.37
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	44	43	$80.00	$45.23
99202 New patient office or other outpatient visit, typically 20 minutes	40	40	$205.00	$62.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	22	$240.00	$88.07
87804 Detection test by immunoassay with direct visual observation for influenza virus	22	11	$50.00	$16.31
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$205.00	$56.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$180.00	$38.15
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	12	12	$40.00	$11.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$240.00	$86.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	25	$240.00	$76.91
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	19	16	$40.00	$13.27
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	17	17	$50.00	$16.20
71046 X-ray of chest, 2 views	15	15	$71.47	$19.54
81003 Automated urinalysis test	15	14	$30.00	$2.44
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$205.00	$60.69

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX 784995

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Nathan Nguyen , MD

Family Medicine

NPI 1487971719

Doctor of Medicine (M.D.)

Dr. Donna Shannon , MD

Family Medicine

NPI 1720052699

Doctor of Medicine (M.D.)

Dr. Natasha Baah , DO

Family Medicine

NPI 1750957791

Doctor of Osteopathic Medicine (D.O.)

Yolanda Bennett , FNP-C

Nurse Practitioner - Family

NPI 1801104526

Family Nurse Practitioner (Certified)

Dr. Christy Pinkham , DO

Family Medicine

NPI 1841362944

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

⚠️

NPI Profile Deactivated July 09, 2026

Record deactivated on July 09, 2026

✅

NPI Profile Active September 26, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location September 26, 2014

Registered at 345 N HIGHWAY 67, CEDAR HILL, TX 751042134 (Tel: 9729565300)

📍

Updated Business Mailing Address September 26, 2014

Registered at PO BOX 9101, COPPELL, TX 750199494 (Tel: 9729068124)

👤

Provider Name / Credentials Updated September 26, 2014

Recorded as NICHOLAS GLAZE, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2014

Nurse Practitioner (License #784995 in TX)

🟢

Initial NPI Registration & Enumeration September 18, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Nicholas Glaze. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1255767513

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 18, 2013

Last Update: September 26, 2014

Deactivation Date: July 09, 2026

Update or Correct Profile

Mailing Address

Po Box 9101

Coppell, TX 750199494

Phone: 9729068124

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.