TRACEY LOUISE GREEN PMHNP
NPI 1295136729
Nurse Practitioner - Psychiatric/Mental Health in Detroit, MI
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
Specialties & Licenses
Secondary Practice Location 1
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Tracey Green reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Detroit, MI 48238
- Reassigned Medicare billing, Michigan enrollment
- 50 clinicians in this Medicare group
East Lansing, MI 48823
- Reassigned Medicare billing, Michigan enrollment
- 17 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.
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.
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.
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 Tracey Green's NPI number?
The NPI number for Tracey Green is 1295136729. It was assigned to this individual provider in the NPPES registry on September 16, 2014.
Where is Tracey Green located?
Tracey Green practices at 882 Oakman Blvd Ste D, Detroit, MI 48238. The listed phone number is (313) 961-7990.
What is Tracey Green's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Tracey Green enrolled in Medicare?
Yes. Tracey 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 organizations bill Medicare for Tracey Green's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tracey Green reassigns Medicare benefits to 2 organizations: Neighborhood Service Organization (Detroit, MI) and Meridian Professional Psychological Consultants (East Lansing, MI). Each 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 Tracey Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tracey Green accept?
Health plans from Priority Health list Tracey 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.
When was this NPI record last updated?
The NPPES record for Tracey Green was last updated on October 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Tracey Louise Green, PMHNP · NPI 1295136729
Psychiatric/Mental Health physician in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since September 16, 2014.
## Identity
- **NPI:** 1295136729 (Entity type: Individual)
- **Enumerated:** September 16, 2014
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 4704290410 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 882 OAKMAN BLVD STE D, Detroit, MI 48238-4019
- **Phone:** (313) 961-7990
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Neighborhood Service Organization (NPI 1891825808, Detroit, MI); Meridian Professional Psychological Consultants (NPI 1225150139, East Lansing, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 20, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1295136729) · Data from the CMS NPPES public registry.