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

Glynn Nusbaum, PA

Individual provider Physician Assistant · NPI 1194453373

Glynn Nusbaum, PA is a Physician Assistant in Slidell, Louisiana. Qualified in 2022, 4 years ago. Practices with Coastal Urgent Care, LLC, a 48-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
4
Licensed in
LA
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1001 Gause Blvd
Slidell, LA 70458-2939
Phone: (985) 280-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1514 Jefferson Hwy, New Orleans, LA 70121-2429 — (504) 842-3653
  • 971 Robert Blvd, Slidell, LA 70458-2009 — (985) 690-8300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 333829 (LA)

Record details

NPI number1194453373
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 15, 2022
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026
Mailing address1514 Jefferson Hwy, New Orleans, LA 70121-2429

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Coastal Urgent Care, Llc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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