Medina Othman Glenn, PA
Physician Assistant · Shelton, WA
Medina Othman Glenn, PA is a physician assistant with a practice address in Shelton, Washington, and NPI 1841168507, issued on Oct 24, 2025. Check the license (Washington PA70040194, as entered in NPPES) with the Washington board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Medina Othman Glenn
- Credential
- PA
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- PA70040194 WA
Self-reported in NPPES; status is on the state search - Practice location
- 1701 N 13TH St, Shelton, WA 98584
- Phone
- (360) 426-2653
- Enumerated
- Oct 24, 2025
- Record last updated
- Apr 16, 2026
- Medicare enrollment
- Enrolled (PECOS I20260129003860); may accept Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 3,718 in Washington → Look up another NPI →
Also registered at 1701 N 13TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Jess Calohan, DNP, PMHNP-BC, FAANPsychiatric/Mental Health Nurse Practitioner1992813679
- Brianna Campbell, PA-CPhysician Assistant1629848916
Verify Medina Othman Glenn in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Washington board licenses this profession
Search for license PA70040194Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Medina Othman Glenn among 3,718 physician assistant records in Washington
Medina Othman Glenn, PA is one of 3,718 physician assistant records with a practice address in Washington. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2025, is newer than 96% of them.
- NPI issued2025 · 96% of these records are older, 1% newer
- In a Medicare fileNo · 76% of these records are
- In the CMS Doctors and Clinicians fileYes · 66% of these records are
- Graduated2025 · median 2017 among the 2,460 with a school on file
- Record last updated2026 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Washington practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
13 physician assistant records list a practice address in Shelton
They are 13 of the 644 NPPES records with a practice address in Shelton, and 3,718 physician assistant records in Washington. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 3,718 in Washington → Every provider in Shelton → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Nissan Armas, PA-CShelton, WA 985841083223291
- Lucinda Boudreau, PA-CShelton, WA 985841598074627
- Brianna Campbell, PA-CShelton, WA 985841629848916
- Kc Graham, PA-CShelton, WA 985841467857532
- Carley Jacobs, PA-CShelton, WA 985841093993560
- John Janisko, PA-CShelton, WA 985841669243838
- Rayleen Kirkland, PACShelton, WA 985841437825692
- Mathew Kummerfeldt, PA-CShelton, WA 985841285818815
Common questions
What is Medina Othman Glenn, PA's NPI number?
Medina Othman Glenn, PA's National Provider Identifier (NPI) is 1841168507, issued on Oct 24, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Medina Othman Glenn, PA located?
The NPPES record lists a practice address at 1701 N 13TH St, Shelton, WA, 98584. Phone: (360) 426-2653. Providers update this record themselves, so call before visiting.
How can I verify Medina Othman Glenn, PA's license?
NPPES lists Washington license number PA70040194, as entered by the provider. Search the Washington board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.