Glen S Lovelace MD PA
NPI 1023053204 · Specialist · Boise, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Glen S Lovelace MD PA is a Specialist organization in Boise, ID (NPI 1023053204).
Provider details
- NPI number
- 1023053204
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Glen Lovelace, Owner(208) 345-3136
- License
- M6570 (ID)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-19
- Last updated
- 2009-06-01
Frequently asked questions
- What is Glen S Lovelace MD PA's NPI number?
- Glen S Lovelace MD PA's National Provider Identifier (NPI) is 1023053204, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Glen S Lovelace MD PA?
- Glen S Lovelace MD PA is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Glen S Lovelace MD PA located?
- Glen S Lovelace MD PA's practice location on file with NPPES is 333 N 1st St Ste 260, Boise, ID 83702-6132.
- What is Glen S Lovelace MD PA's phone number?
- The practice phone number listed in the NPPES registry for Glen S Lovelace MD PA is (208) 345-3136.
- Does Glen S Lovelace MD PA accept Medicare?
- Glen S Lovelace MD PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Glen S Lovelace MD PA?
- The authorized official listed on Glen S Lovelace MD PA's NPPES record is Glen Lovelace, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Glen S Lovelace MD PA's NPI active?
- Yes — Glen S Lovelace MD PA's NPI (1023053204) is active in the NPPES registry as of the last update on 2009-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.