NICOLE MARIE GREENE APRN
NPI 1538830989
Nurse Practitioner - Gerontology in Draper, UT

Q: What is Nicole Greene's NPI number?

The NPI number for Nicole Greene is 1538830989. It was assigned to this individual provider in the NPPES registry on September 24, 2021.

Q: What is Nicole Greene's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Greene was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 24, 2021PECOS EnrolledAccepts Medicare Assignment

12921 S VISTA STATION BLVD, DRAPER, UT 84020(435) 354-9746 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2024, Dec 8, 2021, Dec 4, 2021 and 2 more (5 updates tracked since 2021).

On this page

About Nicole Marie Greene Aprn NPPES

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

NICOLE MARIE GREENE APRN (NPI 1538830989) is an individual gerontology provider in Draper, Utah, licensed in Utah (8483463-4405) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1538830989

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameNICOLE MARIE GREENECredential: APRN

Location Address12921 S VISTA STATION BLVDDraper, UT 84020-2376

Mailing Address458 W Blazer LnStansbury Park, UT 84074-1290 · (435) 840-8918

Phone(435) 354-9746

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 24, 2021

Last NPPES UpdateAugust 12, 20245 updates tracked since enumeration

NPPES CertifiedAugust 12, 2024

✔ NPI 1538830989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LG0600X

License✔ Licensed in UT · 8483463-4405

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 8483463-4405 (UT)

12921 S VISTA STATION BLVD, Draper, UT 84020

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Other Identifiers 1

Other8483463-4405UT · Aprn License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

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

Nicole Marie Greene Aprn 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 ID6901296003

PECOS Enrollment IDI20211203001881

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.

Areas of Expertise CMS Part B claims 4

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

359 services117 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

177 services89 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

43 services29 patients

Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

Mountain West Medical Center

Acute Care Hospitals · Tooele, UT

OwnershipProprietary

CMS Certification Number460014

Location2055 North Main StreetTooele, UT 84074 · Tooele County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84020 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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 3

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

TILLIE BORRELLI DNP

Nurse Practitioner (Family)

12921 S VISTA STATION BLVD
DRAPER, UT 84020

Salt Lake County (801) 823-5811

LANDMARK MEDICAL OF UTAH, PC

General Practice

12921 S VISTA STATION BLVD
DRAPER, UT 84020

Salt Lake County (657) 400-5180

DIEGO HUGO GONZALEZ FNP-C

Nurse Practitioner (Family)

12921 S VISTA STATION BLVD
DRAPER, UT 84020

Salt Lake County (801) 687-1020

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 Nicole Greene's NPI number?

The NPI number for Nicole Greene is 1538830989. It was assigned to this individual provider in the NPPES registry on September 24, 2021.

Where is Nicole Greene located?

Nicole Greene practices at 12921 S Vista Station Blvd, Draper, UT 84020. The listed phone number is (435) 354-9746.

What is Nicole Greene's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Nicole Greene enrolled in Medicare?

Yes. Nicole Greene 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.

What insurance does Nicole Greene accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 5 other insurers list Nicole Greene 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.

Is Nicole Greene affiliated with any hospitals?

According to CMS data, Nicole Greene is affiliated with St Luke's Regional Medical Center and Mountain West Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Greene was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.