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JENNIFER NICOLE GREEN NP-C
NPI 1073064242
Nurse Practitioner - Family in Louin, MS

Active since October 21, 2016PECOS Enrolled
2421 COUNTY ROAD 16, LOUIN, MS 39338(931) 384-8212 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 4, 2023, Dec 23, 2016, Oct 21, 2016 (3 updates tracked since 2016).

About Jennifer Nicole Green Np-c NPPES

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

JENNIFER NICOLE GREEN NP-C (NPI 1073064242) is an individual family provider in Louin, Mississippi, licensed in Mississippi (903916) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073064242
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER NICOLE GREENCredential: NP-C
Location Address2421 COUNTY ROAD 16Louin, MS 39338-3230
Mailing Address500 W 190th St Ste 400Gardena, CA 90248-4290
Phone(931) 384-8212
Sole ProprietorNo
Enumeration DateOctober 21, 2016
Last NPPES UpdateJanuary 4, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2023
✔ NPI 1073064242 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
Licenses✔ Licensed in MS · 903916✔ Licensed in TN · 22027
2421 COUNTY ROAD 16, Louin, MS 39338
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Nicole Green Np-c 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 39338 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 Jennifer Green's NPI number?

The NPI number for Jennifer Green is 1073064242. It was assigned to this individual provider in the NPPES registry on October 21, 2016.

Where is Jennifer Green located?

Jennifer Green practices at 2421 County Road 16, Louin, MS 39338. The listed phone number is (931) 384-8212.

What is Jennifer Green's specialty?

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

Is Jennifer Green enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jennifer Green was last updated on January 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.