TRACEY LOUISE GREEN PMHNP
NPI 1295136729
Nurse Practitioner - Psychiatric/Mental Health in Detroit, MI

Active since September 16, 2014PECOS EnrolledAccepts Medicare Assignment
882 OAKMAN BLVD STE D, DETROIT, MI 48238(313) 961-7990 Get Directions Write a Review

NPPES record last updated: October 20, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 20, 2021, Oct 9, 2021, Jan 7, 2020 and 1 more (4 updates tracked since 2019).

About Tracey Louise Green Pmhnp NPPES

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

TRACEY LOUISE GREEN PMHNP (NPI 1295136729) is an individual psychiatric/mental health provider in Detroit, Michigan, licensed in Michigan (4704290410) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Clinton Township, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1295136729
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTRACEY LOUISE GREENCredential: PMHNP
Location Address882 OAKMAN BLVD STE DDetroit, MI 48238-4019
Mailing Address35870 Sherborne DrClinton Township, MI 48035-3565 · (586) 224-4595 · Fax (586) 204-0681
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 16, 2014
Last NPPES UpdateOctober 20, 20214 updates tracked since enumeration
NPPES CertifiedOctober 20, 2021
NPI 1295136729 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 MI · 4704290410
882 OAKMAN BLVD STE D, Detroit, MI 48238

Secondary Practice Location 1

Location 135870 Sherborne DrClinton Township, MI 48035-2757 · Phone (586) 330-0779 · Fax (586) 204-0681

Accepted 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

Tracey Louise Green Pmhnp 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 ID7810226065
PECOS Enrollment IDI20190912002483
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48238 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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.

Social Worker
882 OAKMAN BLVD STE D
DETROIT, MI 48238
Social Worker
882 OAKMAN BLVD STE D
DETROIT, MI 48238
Social Worker (Clinical)
882 OAKMAN BLVD STE D
DETROIT, MI 48238
Social Worker
882 OAKMAN BLVD STE D
DETROIT, MI 48238
Registered Nurse
882 OAKMAN BLVD STE D
DETROIT, MI 48238
Social Worker
882 OAKMAN BLVD STE D
DETROIT, MI 48238
Social Worker
882 OAKMAN BLVD STE D
DETROIT, MI 48238
Social Worker
882 OAKMAN BLVD STE D
DETROIT, MI 48238

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295136729, enumerated as an "individual" on September 16, 2014.

The provider is located at 882 OAKMAN BLVD STE D DETROIT, MI 48238 and the phone number is (313) 961-7990.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: McLaren Health Plan Community, Oscar Insurance. Please consult your insurance carrier or call the provider to verify.