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MS. CHARLOTTE RENAE GREEN PMHNP-BC
NPI 1174843742
Nurse Practitioner - Psychiatric/Mental Health in Tupelo, MS

Active since June 07, 2010PECOS EnrolledAccepts Medicare Assignment
93.1/100
CMS Quality Rating
4579 S EASON BLVD, TUPELO, MS 38801(662) 377-7590(662) 377-7595 Get Directions Write a Review

NPPES record last updated: June 7, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Charlotte Renae Green Pmhnp-bc NPPES

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

MS. CHARLOTTE RENAE GREEN PMHNP-BC (NPI 1174843742) is an individual psychiatric/mental health provider in Tupelo, Mississippi, licensed in Mississippi (R853585) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with North Mississippi Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1174843742
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. CHARLOTTE RENAE GREENCredential: PMHNP-BC
Location Address4579 S EASON BLVDTupelo, MS 38801-6539
Mailing Address4579 S Eason BlvdTupelo, MS 38801-6539 · (662) 377-7590 · Fax (662) 377-7595
Phone(662) 377-7590
Fax(662) 377-7595
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 7, 2010
✔ NPI 1174843742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MS · R853585
4579 S EASON BLVD, Tupelo, MS 38801
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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

Ms. Charlotte Renae Green Pmhnp-bc 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 ID840484275
PECOS Enrollment IDI20101029001136
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
121 services32 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
113 services58 patients

Hospital Affiliations CMS Care Compare

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

North Mississippi Medical Center

Acute Care Hospitals · Tupelo, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250004
Location830 S Gloster StreetTupelo, MS 38801 · Lee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38801 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.08
Promoting Interoperability88
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

MICHAEL TENNIS OLIVER PH.D.
Psychologist
4579 S EASON BLVD
TUPELO, MS 38801
Lee County (662) 377-3161
PHILLIPA JONES LCSW
Social Worker (Clinical)
4579 S EASON BLVD
TUPELO, MS 38801
Lee County (662) 377-3161
NORTH MISSISSIPPI MEDICAL CENTER, INC.
Psychiatric Unit
4579 S EASON BLVD
TUPELO, MS 38801
Lee County (662) 377-3000
RHONDA SMART MS, LMFT
Marriage & Family Therapist
4579 S EASON BLVD
TUPELO, MS 38801
Lee County (662) 377-3115
MRS. GLORIA TEMPLE HOLLAND MA, LSW, LMFT
Marriage & Family Therapist
4579 S EASON BLVD
TUPELO, MS 38801
Lee County (662) 377-2865
SUSAN PATRICE HYATT PH.D.
Psychologist
4579 S EASON BLVD
TUPELO, MS 38801
Lee County (662) 377-3161
MARY CECILLE GOYSICH PSY.D.
Psychologist
4579 S EASON BLVD
TUPELO, MS 38801
Lee County (662) 377-3161
SANDRA HOLMES PHD
Counselor (Professional)
4579 S EASON BLVD
TUPELO, MS 38801
Lee County (662) 377-3161

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 Charlotte Green's NPI number?

The NPI number for Charlotte Green is 1174843742. It was assigned to this individual provider in the NPPES registry on June 7, 2010.

Where is Charlotte Green located?

Charlotte Green practices at 4579 S Eason Blvd, Tupelo, MS 38801. The listed phone number is (662) 377-7590.

What is Charlotte Green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Charlotte Green enrolled in Medicare?

Yes. Charlotte 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 Charlotte Green accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Charlotte 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 Charlotte Green affiliated with any hospitals?

According to CMS data, Charlotte Green is affiliated with North Mississippi Medical Center.

When was this NPI record last updated?

The NPPES record for Charlotte Green was last updated on June 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.