SUE A GREEN FNP
NPI 1083993661
Nurse Practitioner - Family in Waterloo, NY
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sue A Green Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Sue Green reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Geneva, NY 14456
- Reassigned Medicare billing, New York enrollment
- 129 clinicians in this Medicare group
Penn Yan, NY 14527
- Reassigned Medicare billing, New York enrollment
- 128 clinicians in this Medicare group
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 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.
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.
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.
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.
Which organizations bill Medicare for Sue Green's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sue Green reassigns Medicare benefits to 2 organizations: Flh Medical, PC (Geneva, NY) and Soldiers & Sailors Memorial Hospital (Penn Yan, NY). 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 Sue 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 Sue Green was last updated on August 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Sue A Green, FNP · NPI 1083993661
Family physician in Waterloo, New York. Individual provider, active in the CMS NPPES registry since August 12, 2011.
## Identity
- **NPI:** 1083993661 (Entity type: Individual)
- **Enumerated:** August 12, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F336853 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 369 E MAIN ST, Waterloo, NY 13165-1654
- **Phone:** (315) 539-4025
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Flh Medical, PC (NPI 1164766325, Geneva, NY); Soldiers & Sailors Memorial Hospital (NPI 1215044516, Penn Yan, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 12, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1083993661) · Data from the CMS NPPES public registry.