KRISTIN ANN GREEN FNP-C
NPI 1104588227
Nurse Practitioner - Family in North Little Rock, AR
About Kristin Ann Green Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTIN ANN GREEN FNP-C (NPI 1104588227) is an individual family provider in North Little Rock, Arkansas, licensed in Illinois (209.023986) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Kristin Ann Green Fnp-c 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Francis Medical Center
Acute Care Hospitals · Peoria, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
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 Kristin Green's NPI number?
The NPI number for Kristin Green is 1104588227. It was assigned to this individual provider in the NPPES registry on October 6, 2021. The provider is also known as Kristin Ann Ketelaar.
Where is Kristin Green located?
Kristin Green practices at 4601 E Mccain Blvd, North Little Rock, AR 72117. The listed phone number is (501) 945-4200.
What is Kristin Green's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kristin Green enrolled in Medicare?
Yes. Kristin 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.
Is Kristin Green affiliated with any hospitals?
According to CMS data, Kristin Green is affiliated with Saint Francis Medical Center.
When was this NPI record last updated?
The NPPES record for Kristin Green was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Kristin Ann Green, FNP-C · NPI 1104588227
Family physician in North Little Rock, Arkansas. Individual provider, active in the CMS NPPES registry since October 6, 2021.
## Identity
- **NPI:** 1104588227 (Entity type: Individual)
- **Enumerated:** October 6, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209.023986 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 4601 E MCCAIN BLVD, North Little Rock, AR 72117-2904
- **Phone:** (501) 945-4200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** May 23, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1104588227) · Data from the CMS NPPES public registry.