GINA ANN GREEN FNP
NPI 1083114730
Nurse Practitioner in Louisville, KY

Active since February 20, 2018PECOS EnrolledAccepts Medicare Assignment
401 W MAIN ST STE 1810, LOUISVILLE, KY 40202(888) 349-1116 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2023, Feb 10, 2023, Feb 20, 2018 (3 updates tracked since 2018).

About Gina Ann Green Fnp NPPES

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

GINA ANN GREEN FNP (NPI 1083114730) is an individual nurse practitioner in Louisville, Kentucky, licensed in Kentucky (3011037) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, maintains 10 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1083114730
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameGINA ANN GREENCredential: FNP
Location Address401 W MAIN ST STE 1810Louisville, KY 40202-2927
Mailing Address12201 Bluegrass PkwyLouisville, KY 40299-2361 · (502) 568-7364 · Fax (502) 568-7136
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 20, 2018
Last NPPES UpdateOctober 21, 20253 updates tracked since enumeration
NPPES CertifiedOctober 21, 2025
NPI 1083114730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in KY · 3011037 Licensed in GA · GAA-NP002452 Licensed in AL · 3-001853 Licensed in LA · 237336 Licensed in IN · 71014463A Licensed in OH · 0032484
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3011037 (KY)
401 W MAIN ST STE 1810, Louisville, KY 40202

Secondary Practice Locations 10

Location 19039 Springboro Pike Ste CMiamisburg, OH 45342-5442 · Phone (720) 204-5760
Location 23100 45th St Ste 3Highland, IN 46322-3277 · Phone (888) 998-7337
Location 32311 Wilson Blvd Fl 3Arlington, VA 22201-5436 · Phone (804) 571-2336
Location 45100 Poplar Ave Fl 27Memphis, TN 38137-2701 · Phone (901) 625-5408
Location 51320 Main St Ste 351Columbia, SC 29201-3204 · Phone (980) 443-4852
Location 63330 Cumberland Blvd SE Ste 500Atlanta, GA 30339-5997 · Phone (470) 613-7878
Location 711 N Water St Fl 10Mobile, AL 36602-5010 · Phone (205) 860-7878
Location 8232 Market St Ofc 236Flowood, MS 39232-3339 · Phone (601) 688-7878
Location 92900 Westfork Dr Ste 401Baton Rouge, LA 70827-0010 · Phone (504) 910-7878
Location 102529 Six Mile LnLouisville, KY 40220-2934 · Phone (502) 491-5560 · Fax (502) 491-0214

Other Identifiers 1

Other3011037KY · Ky Np License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Gina Ann Green Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941562284
PECOS Enrollment IDI20260309000508
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 40202 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 Gina Green's NPI number?

The NPI number for Gina Green is 1083114730. It was assigned to this individual provider in the NPPES registry on February 20, 2018.

Where is Gina Green located?

Gina Green practices at 401 W Main St Ste 1810, Louisville, KY 40202. The listed phone number is (888) 349-1116.

What is Gina Green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Gina Green enrolled in Medicare?

Yes. Gina Green is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Gina Green was last updated on October 21, 2025. 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.