MS. CAROLINE V GREEN FNP-C
NPI 1578020822
Nurse Practitioner - Family in Jackson, MS

Active since February 22, 2019PECOS Enrolled
911 ELLIS AVE, JACKSON, MS 39209(601) 533-7016(769) 333-9150 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 30, 2020, Feb 22, 2019 (2 updates tracked since 2019).

About Ms. Caroline V Green Fnp-c NPPES

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

MS. CAROLINE V GREEN FNP-C (NPI 1578020822) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (903203) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578020822
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. CAROLINE V GREENCredential: FNP-C
Location Address911 ELLIS AVEJackson, MS 39209-6256
Mailing AddressPo Box 746085Atlanta, GA 30374-6085 · (312) 733-9730 · Fax (773) 866-8014
Fax(769) 333-9150
Sole ProprietorNo
Enumeration DateFebruary 22, 2019
Last NPPES UpdateApril 18, 20232 updates tracked since enumeration
NPPES CertifiedApril 18, 2023
NPI 1578020822 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 MS · 903203
911 ELLIS AVE, Jackson, MS 39209

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Caroline V Green Fnp-c 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.

Areas of Expertise CMS Part B claims

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39209 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Internal Medicine
911 ELLIS AVE
JACKSON, MS 39209
Internal Medicine
911 ELLIS AVE
JACKSON, MS 39209
Nurse Practitioner (Family)
911 ELLIS AVE
JACKSON, MS 39209
Nurse Practitioner
911 ELLIS AVE
JACKSON, MS 39209
Family Medicine
911 ELLIS AVE
JACKSON, MS 39209
Family Medicine
911 ELLIS AVE
JACKSON, MS 39209
Nurse Practitioner (Family)
911 ELLIS AVE
JACKSON, MS 39209
Nurse Practitioner (Family)
911 ELLIS AVE
JACKSON, MS 39209

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 Caroline Green's NPI number?

The NPI number for Caroline Green is 1578020822. It was assigned to this individual provider in the NPPES registry on February 22, 2019.

Where is Caroline Green located?

Caroline Green practices at 911 Ellis Ave, Jackson, MS 39209. The listed phone number is (601) 533-7016.

What is Caroline Green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Caroline Green enrolled in Medicare?

Yes. Caroline Green is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Caroline Green was last updated on April 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.