MS. JENIFER LYN GREEN CNP
NPI 1619180064
Nurse Practitioner - Adult Health in Traverse City, MI
About Ms. Jenifer Lyn Green Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JENIFER LYN GREEN CNP (NPI 1619180064) is an individual adult health provider in Traverse City, Michigan, licensed in Michigan (4704299051) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Jenifer Lyn Green Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jenifer Green reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Traverse City, MI 49684
- Reassigned Medicare billing, Michigan enrollment
- 492 clinicians in this Medicare group
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 49684 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
TRAVERSE CITY, MI 49684
TRAVERSE CITY, MI 49684
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 Jenifer Green's NPI number?
The NPI number for Jenifer Green is 1619180064. It was assigned to this individual provider in the NPPES registry on May 8, 2007.
Where is Jenifer Green located?
Jenifer Green practices at 1221 Sixth St Ste 300, Traverse City, MI 49684. The listed phone number is (231) 392-0640.
What is Jenifer Green's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Jenifer Green enrolled in Medicare?
Yes. Jenifer Green is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jenifer Green's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jenifer Green reassigns Medicare benefits to Munson Medical Center (Traverse City, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jenifer Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jenifer Green was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Ms. Jenifer Lyn Green, CNP · NPI 1619180064
Adult Health physician in Traverse City, Michigan. Individual provider, active in the CMS NPPES registry since May 8, 2007.
## Identity
- **NPI:** 1619180064 (Entity type: Individual)
- **Enumerated:** May 8, 2007
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 4704299051 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1221 SIXTH ST STE 300, Traverse City, MI 49684-2360
- **Phone:** (231) 392-0640
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Munson Medical Center (NPI 1083761860, Traverse City, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 18, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1619180064) · Data from the CMS NPPES public registry.