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STEPHANIE RENEE GREEN MD
NPI 1124720206
Student in an Organized Health Care Education/Training Program in Louisville, KY

Active since March 21, 2023PECOS Enrolled
550 S JACKSON ST, LOUISVILLE, KY 40202(502) 852-1895(502) 852-8915 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie Renee Green Md NPPES

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

STEPHANIE RENEE GREEN MD (NPI 1124720206) is an individual student in an organized health care education/training program in Louisville, Kentucky and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124720206
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSTEPHANIE RENEE GREENCredential: MD
Location Address550 S JACKSON STLouisville, KY 40202-1622
Mailing Address550 S Jackson StLouisville, KY 40202-1622 · (502) 852-1895 · Fax (502) 852-8915
Phone(502) 852-1895
Fax(502) 852-8915
Sole ProprietorNo
Enumeration DateMarch 21, 2023
NPPES CertifiedMarch 21, 2023
✔ NPI 1124720206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
550 S JACKSON ST, Louisville, KY 40202
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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)

Stephanie Renee Green Md 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.

Other Providers at the Same Location NPPES 20

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

BROCK AARON MARTIN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
550 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-1816
UNIVERSITY PHYSICIAN ASSOCIATES
Internal Medicine (Critical Care Medicine)
550 S JACKSON ST, 3RD FLOOR
LOUISVILLE, KY 40202
Jefferson County (502) 561-8686
KATHRYN KENDALL BURKE MD
Student in an Organized Health Care Education/Training Program
550 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-5666
STANLEY A. GALL M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
550 S JACKSON ST, 3RD FLOOR
LOUISVILLE, KY 40202
Jefferson County (502) 561-8850
DR. STEVEN B LIPPMANN M.D.
Psychiatry & Neurology (Psychiatry)
550 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-1759
STEPHEN HOUGHLAND MD
Internal Medicine
550 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 562-6510
UNIVERISTY PHYSICIAN ASSOCIATES
Surgery (Vascular Surgery)
550 S JACKSON ST, 2ND FLOOR
LOUISVILLE, KY 40202
Jefferson County (502) 562-6511
AMELIA EINFALT POWER MD
Student in an Organized Health Care Education/Training Program
550 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-4277

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 Stephanie Green's NPI number?

The NPI number for Stephanie Green is 1124720206. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Stephanie Green located?

Stephanie Green practices at 550 S Jackson St, Louisville, KY 40202. The listed phone number is (502) 852-1895.

What is Stephanie Green's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Stephanie Green enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Stephanie Green was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.