CARRIE ANNE GREEN APN
NPI 1285193441
Nurse Practitioner - Family in Monmouth, IL

Q: What is Carrie Green's NPI number?

The NPI number for Carrie Green is 1285193441. It was assigned to this individual provider in the NPPES registry on March 18, 2019. The provider is also known as Carrie Anne Cross Apn.

Q: What is Carrie Green's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carrie Green was last updated on December 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 18, 2019PECOS EnrolledAccepts Medicare Assignment

1000 W HARLEM AVE, MONMOUTH, IL 61462(309) 734-1414(309) 734-0323 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 3, 2024, Mar 18, 2019 (2 updates tracked since 2019).

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About Carrie Anne Green Apn NPPES

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

CARRIE ANNE GREEN APN (NPI 1285193441) is an individual family provider in Monmouth, Illinois, licensed in Illinois (209019054) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1285193441

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCARRIE ANNE GREENCredential: APN

Location Address1000 W HARLEM AVEMonmouth, IL 61462-1007

Mailing Address1000 W Harlem AveMonmouth, IL 61462-1007 · (309) 734-1414 · Fax (309) 734-0323

Phone(309) 734-1414

Fax(309) 734-0323

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 18, 2019

Last NPPES UpdateDecember 3, 20242 updates tracked since enumeration

NPPES CertifiedDecember 3, 2024

✔ NPI 1285193441 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 IL · 209019054

1000 W HARLEM AVE, Monmouth, IL 61462

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Other Names 1

Former Name (1)Carrie Anne Cross Apn

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

Carrie Anne Green Apn 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 ID1153662333

PECOS Enrollment IDI20190417000435

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.

St Mary Medical Center

Acute Care Hospitals · Galesburg, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140064

Location3333 North SeminaryGalesburg, IL 61401 · Knox County

Emergency services Birthing friendly

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140067

Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County

Emergency services Birthing friendly

Osf Holy Family Medical Center

Critical Access Hospitals · Monmouth, IL

OwnershipVoluntary non-profit - Church

CMS Certification Number141318

Location1000 W Harlem AvenueMonmouth, IL 61462 · Warren County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61462 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers19 claims52 services$6.60 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers18 claims18 services$32.15 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

DR. MUKUND GODBOLE M.D.

Surgery