MRS. MERRY LYN GREEN ANP
NPI 1003105610
Nurse Practitioner - Adult Health in New York, NY

Q: What is Merry Lyn Green's NPI number?

The NPI number for Merry Lyn Green is 1003105610. It was assigned to this individual provider in the NPPES registry on April 4, 2011.

Q: What is Merry Lyn Green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Merry Lyn Green was last updated on April 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 04, 2011PECOS Enrolled

845 3RD AVE FL 6, NEW YORK, NY 10022(866) 949-0108 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 28, 2022, Sep 12, 2021, Nov 9, 2016 (3 updates tracked since 2016).

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About Mrs. Merry Lyn Green Anp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MERRY LYN GREEN ANP (NPI 1003105610) is an individual adult health provider in New York, New York, licensed in New York (F305656-1) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003105610

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMRS. MERRY LYN GREENCredential: ANP

Location Address845 3RD AVE FL 6New York, NY 10022-6630

Mailing Address40 S Main St Ste 1300Memphis, TN 38103-5513 · (669) 490-1088

Phone(866) 949-0108

Sole ProprietorNo

Enumeration DateApril 4, 2011

Last NPPES UpdateApril 28, 20223 updates tracked since enumeration

NPPES CertifiedApril 28, 2022

✔ NPI 1003105610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F305656-1

845 3RD AVE FL 6, New York, NY 10022

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Other Identifiers 1

Medicaid03552090NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Merry Lyn Green Anp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10022 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JOVITE NGUEMBOU NP

Nurse Practitioner (Adult Health)