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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: October 18, 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 and maintains a secondary practice location in Sterling.

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
Open in Google Maps ↗

Secondary Practice Location 1

Location 1121 S 4th StSterling, CO 80751-4286 · Phone (931) 384-8212

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jennifer Green reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Upperline Healthcare, PC
169 mi
Foot & Ankle Surgery
2116 CHAPEL HILL RD
Hoover, AL 35216
  • Reassigned Medicare billing, Mississippi enrollment
  • 207 clinicians in this Medicare group
NPI 1538686498 (407) 219-5402
Fast Pace Mississippi, PLLC
187 mi
Rural Health
517 CITY AVE S
Ripley, MS 38663
  • Reassigned Medicare billing, Mississippi enrollment
  • 463 clinicians in this Medicare group
NPI 1447769559 (662) 587-8206
High Forest Health Group
261 mi
Family Medicine
120 KITTRELL ST
Hohenwald, TN 38462
  • Reassigned Medicare billing, Tennessee enrollment
  • 4 clinicians in this Medicare group
NPI 1326392135 (931) 796-1818

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 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.

Which organizations bill Medicare for Jennifer Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Green reassigns Medicare benefits to 3 organizations: Upperline Healthcare, PC (Hoover, AL), Fast Pace Mississippi, PLLC (Ripley, MS) and High Forest Health Group (Hohenwald, TN). Each 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 Jennifer Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Green accept?

Health plans from Cigna Healthcare and Molina Healthcare list Jennifer Green as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.