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

Glen Wiley, APRN, FNP-C

Individual provider Family Nurse Practitioner · NPI 1154905982

Glen Wiley, APRN, FNP-C is a Nurse Practitioner in Banning, California. Qualified in 2019, 7 years ago. Practices with The Urgent Care Associates of Texas PLLC, a 22-clinician group. Licensed in California, Missouri and Texas.

Years since qualifying
7
Licensed in
CA, MO, TX
In the registry since
2021
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

11555 Potrero Rd
Banning, CA 92220-6946
Phone: (251) 849-4761
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95017368 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 1031197 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2025038559 (MO)

Record details

NPI number1154905982
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN , FNP-C
Sole proprietorYes
NPI enumeratedMay 7, 2021
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice The Urgent Care Associates Of Texas Pllc — 22 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Banning