NICOLE D GREEN NP
NPI 1104105352
Nurse Practitioner - Family in Destrehan, LA

Active since August 05, 2011PECOS EnrolledAccepts Medicare Assignment
13100 RIVER RD, DESTREHAN, LA 70047(985) 764-7669 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole D Green Np NPPES

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

NICOLE D GREEN NP (NPI 1104105352) is an individual family provider in Destrehan, Louisiana, licensed in Louisiana (F0611104) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and maintains a secondary practice location in Gramercy.

NPPES Registry Identity

NPI1104105352
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE D GREENCredential: NP
Location Address13100 RIVER RDDestrehan, LA 70047-5219
Mailing Address1514 Jefferson HwyNew Orleans, LA 70121-2429 · (504) 842-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 5, 2011
Last NPPES UpdateNovember 25, 2024
NPPES CertifiedNovember 25, 2024
NPI 1104105352 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 LA · F0611104
13100 RIVER RD, Destrehan, LA 70047

Secondary Practice Location 1

Location 1827 N Pine StGramercy, LA 70052-3659 · Phone (225) 869-9200 ext. 104 · Fax (225) 869-9241

Accepted Insurance

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

Nicole D Green Np 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 ID3173794013
PECOS Enrollment IDI20110926000179
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190036
Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County
Emergency services Birthing friendly

St Charles Parish Hospital

Acute Care Hospitals · Luling, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190079
Location1057 Paul Maillard RoadLuling, LA 70070 · St. Charles County
Emergency services

Ochsner Medical Center-Kenner

Acute Care Hospitals · Kenner, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190274
Location180 West Esplanade AvenueKenner, LA 70065 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70047 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Pediatrics)
13100 RIVER RD
DESTREHAN, LA 70047
General Practice
13100 RIVER RD
DESTREHAN, LA 70047
Physician Assistant
13100 RIVER RD
DESTREHAN, LA 70047
Internal Medicine
13100 RIVER RD, SUITE 120
DESTREHAN, LA 70047
Nurse Practitioner (Family)
13100 RIVER RD
DESTREHAN, LA 70047
Clinic/Center (Urgent Care)
13100 RIVER RD, SUITE 100
DESTREHAN, LA 70047

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 Green's NPI number?

The NPI number for Nicole Green is 1104105352. It was assigned to this individual provider in the NPPES registry on August 5, 2011.

Where is Nicole Green located?

Nicole Green practices at 13100 River Rd, Destrehan, LA 70047. The listed phone number is (985) 764-7669.

What is Nicole Green's specialty?

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

Is Nicole Green enrolled in Medicare?

Yes. Nicole 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.

What insurance does Nicole Green accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Nicole 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.

Is Nicole Green affiliated with any hospitals?

According to CMS data, Nicole Green is affiliated with Ochsner Medical Center Acute, St Charles Parish Hospital and Ochsner Medical Center-Kenner.

When was this NPI record last updated?

The NPPES record for Nicole Green was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.