EVELYN L GREEN FNP
NPI 1386003036
Nurse Practitioner - Family in Longview, TX

Q: What is Evelyn Green's NPI number?

The NPI number for Evelyn Green is 1386003036. It was assigned to this individual provider in the NPPES registry on February 22, 2016.

Q: What is Evelyn 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 Evelyn Green was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since February 22, 2016PECOS Enrolled

818 N 4TH ST, LONGVIEW, TX 75601(903) 236-8600(903) 236-8605 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 1, 2024, Feb 22, 2016 (2 updates tracked since 2016).

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About Evelyn L Green Fnp NPPES

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

EVELYN L GREEN FNP (NPI 1386003036) is an individual family provider in Longview, Texas, licensed in Texas (A130258) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1386003036

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameEVELYN L GREENCredential: FNP

Location Address818 N 4TH STLongview, TX 75601-5433

Mailing Address818 N 4th StLongview, TX 75601-5433 · (903) 236-8600 · Fax (903) 236-8605

Phone(903) 236-8600

Fax(903) 236-8605

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateFebruary 22, 2016

Last NPPES UpdateMay 1, 20242 updates tracked since enumeration

NPPES CertifiedMay 1, 2024

✔ NPI 1386003036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · A130258

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License A130258 (TX)

818 N 4TH ST, Longview, TX 75601

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evelyn L Green Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729545934

PECOS Enrollment IDI20260807001130

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.

Medicare Billing Reassignment

Medicare enrollment records show Evelyn Green reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Christus Trinity Clinic Texas

35 mi

Family Medicine

520 DOUGLAS BLVD
Tyler, TX 75702

Reassigned Medicare billing, Texas enrollment
2,745 clinicians in this Medicare group

NPI 1285684225 (903) 315-4119

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 75601 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 6

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

ASHLEY MORGAN FNP

Nurse Practitioner (Family)