Doctor profile · Federal record

Dr. Kelsey Glidewell, PA-C

Surgical Physician Assistant (CMS: Physician Assistant) · Colton, CA

  • NPI 1366951253
  • Accepts Medicare
  • 9 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
400 N Pepper Ave
Colton, CA 923241801
(909) 580-6170
Mailing address
Phr Group Provider Enrollment Unit, 393 E Walnut St Fl 3
Pasadena, CA 911880001

Credentials & registration

NPPES · NUCC
NPI registered
September 2017 — 9 yrs on file
Profile last updated
December 8, 2021
Year of graduation
2017 — 9 yrs since
Specialty taxonomy
363AS0400X — NUCC code
State license (1)
California #54919

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1366951253. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$100
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Stryker Corporation 1 $100.00

By nature of payment

Food and Beverage
$100

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
134
Patients
120
Total drug cost
$1,382
Drug Type Claims Patients Total cost
Neomycin-Polymyxin-Dexameth (Neomycin/Polymyxin B/Dexametha) Brand 52 41 $598
Cephalexin Generic 37 35 $461
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 33 32 $251
Tramadol Hcl Generic 12 12 $73

Frequently asked questions

Auto-generated from federal data
What is Dr. Kelsey Glidewell's medical specialty?
Dr. Kelsey Glidewell practices Surgical Physician Assistant in Colton, CA.
Where does Dr. Kelsey Glidewell practice?
Dr. Kelsey Glidewell practices at 400 N Pepper Ave, Colton, CA 923241801. Office phone: 9095806170.
What is Dr. Kelsey Glidewell's NPI?
Dr. Kelsey Glidewell's National Provider Identifier (NPI) is 1366951253, issued by NPPES.
Does Dr. Kelsey Glidewell accept Medicare assignment?
Yes. Dr. Kelsey Glidewell accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.