Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Glen R Standafer, APRN

Individual provider Nurse Practitioner · NPI 1669759064

Glen R Standafer, APRN is a Nurse Practitioner in Frenchburg, Kentucky. Qualified in 2011, 15 years ago. Practices with Green Valley Emergency Physicians, LLC, a 38-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
15
Licensed in
KY
In the registry since
2011
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

732 Highway 36
Frenchburg, KY 40322-8123
Phone: (606) 768-2191
Fax: (606) 768-6130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3007175 (KY)
Nurse Practitioner Taxonomy 363L00000X · Licence 3007175 (KY)

Record details

NPI number1669759064
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedNovember 14, 2011
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025
Mailing address732 Highway 36, Frenchburg, KY 40322-8123

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Green Valley Emergency Physicians, Llc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Frenchburg