NICOLE GREENLEE FNP
NPI 1093371874
Nurse Practitioner - Family in Goshen, IN

Active since May 16, 2019
2824 ELKHART RD, GOSHEN, IN 46526(574) 535-1700 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 12, 2021, Jul 8, 2019, May 16, 2019 (3 updates tracked since 2019).

About Nicole Greenlee Fnp NPPES

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

NICOLE GREENLEE FNP (NPI 1093371874) is an individual family provider in Goshen, Indiana, licensed in Indiana (71009094A) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1093371874
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE GREENLEECredential: FNP
Location Address2824 ELKHART RDGoshen, IN 46526-1014
Mailing Address2824 Elkhart RdGoshen, IN 46526-1014
Sole ProprietorNo
Enumeration DateMay 16, 2019
Last NPPES UpdateJanuary 12, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2021
NPI 1093371874 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 IN · 71009094A
2824 ELKHART RD, Goshen, IN 46526

Other Identifiers 1

Medicaid300028207IN

Other Providers at the Same Location NPPES 19

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

Pharmacist
2824 ELKHART RD
GOSHEN, IN 46526
Physician Assistant
2824 ELKHART RD
GOSHEN, IN 46526
Family Medicine
2824 ELKHART RD
GOSHEN, IN 46526
Nurse Practitioner (Family)
2824 ELKHART RD
GOSHEN, IN 46526
Nurse Practitioner (Family)
2824 ELKHART RD
GOSHEN, IN 46526
Nurse Practitioner (Family)
2824 ELKHART RD
GOSHEN, IN 46526
Nurse Practitioner (Family)
2824 ELKHART RD
GOSHEN, IN 46526
Pharmacy (Community/Retail Pharmacy)
2824 ELKHART RD
GOSHEN, IN 46526

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 Nicole Greenlee's NPI number?

The NPI number for Nicole Greenlee is 1093371874. It was assigned to this individual provider in the NPPES registry on May 16, 2019.

Where is Nicole Greenlee located?

Nicole Greenlee practices at 2824 Elkhart Rd, Goshen, IN 46526. The listed phone number is (574) 535-1700.

What is Nicole Greenlee's specialty?

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

When was this NPI record last updated?

The NPPES record for Nicole Greenlee was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.