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SUE A GREEN FNP
NPI 1083993661
Nurse Practitioner - Family in Waterloo, NY

Active since August 12, 2011PECOS Enrolled
369 E MAIN ST, WATERLOO, NY 13165(315) 539-4025 Get Directions Write a Review

NPPES record last updated: August 12, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sue A Green Fnp NPPES

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

SUE A GREEN FNP (NPI 1083993661) is an individual family provider in Waterloo, New York, licensed in New York (F336853) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083993661
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUE A GREENCredential: FNP
Location Address369 E MAIN STWaterloo, NY 13165-1654
Mailing Address35 Mason St, Suite 214Geneva, NY 14456-1133 · (315) 230-5646
Phone(315) 539-4025
Sole ProprietorNo
Enumeration DateAugust 12, 2011
✔ NPI 1083993661 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 NY · F336853
369 E MAIN ST, Waterloo, NY 13165
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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)

Sue A Green Fnp 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 13165 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$57.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

HUNTINGTON NURSING HOME INC
Skilled Nursing Facility
369 E MAIN ST
WATERLOO, NY 13165
Seneca County (315) 787-4150
SARAH LAHR
Physical Therapist
369 E MAIN ST
WATERLOO, NY 13165
Seneca County (315) 787-4903
KAITLIN ANN MCKINLEY
Nurse Practitioner
369 E MAIN ST
WATERLOO, NY 13165
Seneca County (315) 787-4733
DR. ANDREW B REESE MD
Family Medicine
369 E MAIN ST
WATERLOO, NY 13165
Seneca County (315) 539-4025

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 Sue Green's NPI number?

The NPI number for Sue Green is 1083993661. It was assigned to this individual provider in the NPPES registry on August 12, 2011.

Where is Sue Green located?

Sue Green practices at 369 E Main St, Waterloo, NY 13165. The listed phone number is (315) 539-4025.

What is Sue Green's specialty?

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

Is Sue Green enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Sue Green was last updated on August 12, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.