JENNIFER GREENE
NPI 1477162188
Nurse Practitioner - Primary Care in Pleasanton, KS

Q: What is Jennifer Greene's NPI number?

The NPI number for Jennifer Greene is 1477162188. It was assigned to this individual provider in the NPPES registry on July 28, 2020.

Q: What is Jennifer Greene's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Greene was last updated on March 15, 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 July 28, 2020PECOS Enrolled

11155 TUCKER RD, PLEASANTON, KS 66075(913) 352-8379 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 15, 2023, Jul 11, 2022, Jul 28, 2020 (3 updates tracked since 2020).

On this page

About Jennifer Greene NPPES

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

JENNIFER GREENE (NPI 1477162188) is an individual primary care provider in Pleasanton, Kansas, licensed in Kansas (80449) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1477162188

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameJENNIFER GREENE

Location Address11155 TUCKER RDPleasanton, KS 66075-8401

Mailing AddressPo Box 1832Pittsburg, KS 66762-1832 · (913) 352-8379

Phone(913) 352-8379

Sole ProprietorNo

Enumeration DateJuly 28, 2020

Last NPPES UpdateMarch 15, 20233 updates tracked since enumeration

NPPES CertifiedMarch 15, 2023

✔ NPI 1477162188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP2300X

License✔ Licensed in KS · 80449

11155 TUCKER RD, Pleasanton, KS 66075

Open in Google Maps ↗

Secondary Practice Locations 3

Location 1106 NW Veterans BlvdMiami, OK 74354-1818 · Phone (918) 238-3074 · Fax (918) 238-3076

Location 21701 S Broadway StPittsburg, KS 66762-5856 · Phone (620) 235-4431

Location 33011 N Michigan StPittsburg, KS 66762-2546 · Phone (620) 231-9873 · Fax (620) 231-5062

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Greene is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Mcpherson Medical & Diagnostic LLC

73 mi

Clinic/Center

433 S GARRISON AVE
Carthage, MO 64836

Reassigned Medicare billing, Missouri enrollment
116 clinicians in this Medicare group

NPI 1700569332 (417) 359-8646

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 66075 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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 12

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

COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))