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STACY JO GREEN CRNP
NPI 1437481074
Nurse Practitioner in Edinboro, PA

Active since February 08, 2010PECOS EnrolledAccepts Medicare Assignment
79.55/100
CMS Quality Rating
120 WASHINGTON TOWNE BLVD N, EDINBORO, PA 16412(814) 877-7500(814) 877-7510 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2021, Oct 23, 2020 (2 updates tracked since 2020).

About Stacy Jo Green Crnp NPPES

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

STACY JO GREEN CRNP (NPI 1437481074) is an individual nurse practitioner in Edinboro, Pennsylvania, licensed in Pennsylvania (SP010692) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS, is affiliated with Upmc Hamot, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1437481074
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSTACY JO GREENCredential: CRNP
Location Address120 WASHINGTON TOWNE BLVD NEdinboro, PA 16412-1254
Mailing Address120 Washington Towne Blvd NEdinboro, PA 16412-1254 · (814) 877-7500 · Fax (814) 877-7510
Phone(814) 877-7500
Fax(814) 877-7510
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateFebruary 8, 2010
Last NPPES UpdateAugust 10, 20212 updates tracked since enumeration
NPPES CertifiedAugust 10, 2021
✔ NPI 1437481074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP010692
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
120 WASHINGTON TOWNE BLVD N, Edinboro, PA 16412
Open in Google Maps ↗

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

Stacy Jo Green Crnp 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 ID1557497575
PECOS Enrollment IDI20100330000263
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 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc Hamot

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390063
Location201 State StreetErie, PA 16550 · Erie County
Emergency services Birthing friendly

Meadville Medical Center

Acute Care Hospitals · Meadville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390113
Location751 Liberty StreetMeadville, PA 16335 · Crawford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16412 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

79.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.36
Promoting Interoperability100
Improvement Activities40
Cost67.48

Other Providers at the Same Location NPPES 5

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

CHRISTOPHER CONN
Nurse Practitioner
120 WASHINGTON TOWNE BLVD N
EDINBORO, PA 16412
Erie County (814) 877-7500
REGIONAL HEALTH SERVICES INC
Family Medicine
120 WASHINGTON TOWNE BLVD N
EDINBORO, PA 16412
Erie County (814) 734-8647
JULIE ANN WEHRER MD
Family Medicine
120 WASHINGTON TOWNE BLVD N
EDINBORO, PA 16412
Erie County (814) 877-7500
JEFFREY CALDWELL
Family Medicine
120 WASHINGTON TOWNE BLVD N
EDINBORO, PA 16412
Erie County (814) 734-8647
EMILY S WILKINSON PA-C
Physician Assistant
120 WASHINGTON TOWNE BLVD N
EDINBORO, PA 16412
Erie County (814) 877-7500

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 Stacy Green's NPI number?

The NPI number for Stacy Green is 1437481074. It was assigned to this individual provider in the NPPES registry on February 8, 2010.

Where is Stacy Green located?

Stacy Green practices at 120 Washington Towne Blvd N, Edinboro, PA 16412. The listed phone number is (814) 877-7500.

What is Stacy Green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Stacy Green enrolled in Medicare?

Yes. Stacy 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.

Is Stacy Green affiliated with any hospitals?

According to CMS data, Stacy Green is affiliated with Upmc Hamot and Meadville Medical Center.

When was this NPI record last updated?

The NPPES record for Stacy Green was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.