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

Miss. Ciara Glenn, PA-C

Individual provider Surgical Physician Assistant · NPI 1780213553

Miss. Ciara Glenn, PA-C is a Physician Assistant in Saint Louis, Missouri. Qualified in 2021, 5 years ago. Practices with SSM Health Care Group, a 923-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
5
Licensed in
IL, MO
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1225 S Grand Blvd
Saint Louis, MO 63104-1016
Phone: (314) 257-3390
Fax: (314) 617-2113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 2021009905 (MO)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 085008403 (IL)

Record details

NPI number1780213553
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedApril 3, 2020
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Ssm Health Care Group — 923 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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