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NICHOLE MARIE GREEN ARNP
NPI 1003582974
Nurse Practitioner - Family in Kennewick, WA

Active since August 19, 2021PECOS Enrolled
8656 W GAGE BLVD STE B203, KENNEWICK, WA 99336(509) 579-0109(509) 420-9851 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 12, 2026, Aug 25, 2021, Aug 19, 2021 (3 updates tracked since 2021).

About Nichole Marie Green Arnp NPPES

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

NICHOLE MARIE GREEN ARNP (NPI 1003582974) is an individual family provider in Kennewick, Washington, licensed in Washington (AP61208028) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003582974
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICHOLE MARIE GREENCredential: ARNP
Location Address8656 W GAGE BLVD STE B203Kennewick, WA 99336-1154
Mailing Address8656 W Gage Blvd Ste B203Kennewick, WA 99336-1154 · (509) 579-0109 · Fax (509) 420-9851
Phone(509) 579-0109
Fax(509) 420-9851
Sole ProprietorYes
Enumeration DateAugust 19, 2021
Last NPPES UpdateJanuary 12, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
✔ NPI 1003582974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WA · AP61208028
8656 W GAGE BLVD STE B203, Kennewick, WA 99336
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nichole Marie Green Arnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Nichole Green reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physicians Immediate Care & Medical Centers, P.S.
4.3 mi
Family Medicine
1215 GEORGE WASHINGTON WAY
Richland, WA 99352
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: Physicians Immediate Care & Medical Centers Ps
  • 35 clinicians in this Medicare group
NPI 1821002510 (509) 946-7646

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99336 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nichole Green's NPI number?

The NPI number for Nichole Green is 1003582974. It was assigned to this individual provider in the NPPES registry on August 19, 2021.

Where is Nichole Green located?

Nichole Green practices at 8656 W Gage Blvd Ste B203, Kennewick, WA 99336. The listed phone number is (509) 579-0109.

What is Nichole Green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nichole Green enrolled in Medicare?

Yes. Nichole Green is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nichole Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nichole Green reassigns Medicare benefits to Physicians Immediate Care & Medical Centers, P.S. (Richland, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nichole Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nichole Green was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.