MS. CHARLOTTE RENAE GREEN PMHNP-BC
NPI 1174843742
Nurse Practitioner - Psychiatric/Mental Health in Tupelo, MS
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Charlotte Green reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tupelo, MS 38801
- Reassigned Medicare billing, Mississippi enrollment
- 581 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, MSPhysician 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.
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.
Other Providers at the Same Location NPPES 12
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 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.
Which organization bills Medicare for Charlotte Green's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charlotte Green reassigns Medicare benefits to North Mississippi Medical Center, Inc. (Tupelo, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charlotte Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Charlotte Green accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, 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.
# Ms. Charlotte Renae Green, PMHNP-BC · NPI 1174843742
Psychiatric/Mental Health physician in Tupelo, Mississippi. Individual provider, active in the CMS NPPES registry since June 7, 2010.
## Identity
- **NPI:** 1174843742 (Entity type: Individual)
- **Enumerated:** June 7, 2010
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R853585 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 4579 S EASON BLVD, Tupelo, MS 38801-6539
- **Phone:** (662) 377-7590 · **Fax:** (662) 377-7595
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** North Mississippi Medical Center, Inc. (NPI 1427404235, Tupelo, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** June 7, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1174843742) · Data from the CMS NPPES public registry.