CHANTEL MARIE GREEN FNP
NPI 1457075889
Nurse Practitioner - Family in Jefferson City, MO

Q: What is Chantel Green's NPI number?

The NPI number for Chantel Green is 1457075889. It was assigned to this individual provider in the NPPES registry on September 29, 2022.

Q: What is Chantel 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 Chantel Green was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 29, 2022PECOS EnrolledAccepts Medicare Assignment

1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109(573) 635-5264 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Chantel Marie Green Fnp NPPES

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

CHANTEL MARIE GREEN FNP (NPI 1457075889) is an individual family provider in Jefferson City, Missouri, licensed in Missouri (2022037794) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jefferson City, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1457075889

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCHANTEL MARIE GREENCredential: FNP

Location Address1241 W STADIUM BLVDJefferson City, MO 65109-6023

Mailing Address6117 Roling RdJefferson City, MO 65101-8987 · (573) 680-2895

Phone(573) 635-5264

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 29, 2022

Last NPPES UpdateJune 28, 2023

NPPES CertifiedJune 28, 2023

✔ NPI 1457075889 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 MO · 2022037794

1241 W STADIUM BLVD, Jefferson City, MO 65109

Open in Google Maps ↗

Secondary Practice Location 1

Location 16117 Roling RdJefferson City, MO 65101-8987 · Phone (573) 680-2895

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Chantel Marie Green Fnp 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 ID9133595788

PECOS Enrollment IDI20221021002411

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 Chantel Green reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jefferson City Medical Group, P.C.

Same address

Multi-Specialty

1241 W STADIUM BLVD, FIRST FLOOR, SUITE 1100
Jefferson City, MO 65109

Reassigned Medicare billing, Missouri enrollment
Medicare enrollment name: Jefferson City Medical Group PC
155 clinicians in this Medicare group

NPI 1336189398 (573) 556-5747

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

253 services159 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

222 services135 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

205 services127 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

192 services130 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

174 services116 patients

Ferritin (blood protein) level 82728

A Ferritin level test measures the amount of ferritin, a protein that stores iron, in your blood. It helps determine how much iron your body is storing. If levels are low, it may indicate iron deficiency, while high levels could signify conditions like iron overload.

157 services89 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65109 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

DR. THOMAS W. SCHNEIDER M.D.

Internal Medicine (Pulmonary Disease)