MS. JENIFER LYN GREEN CNP
NPI 1619180064
Nurse Practitioner - Adult Health in Traverse City, MI

Active since May 08, 2007PECOS Enrolled
100/100
CMS Quality Rating
1221 SIXTH ST STE 300, TRAVERSE CITY, MI 49684(231) 392-0640 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 18, 2020, Jul 31, 2019, Aug 18, 2016 (3 updates tracked since 2016).

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

NPI1619180064
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. JENIFER LYN GREENCredential: CNP
Location Address1221 SIXTH ST STE 300Traverse City, MI 49684-2360
Mailing Address1221 Sixth St Ste 300Traverse City, MI 49684-2360
Sole ProprietorNo
Enumeration DateMay 8, 2007
Last NPPES UpdateDecember 18, 20203 updates tracked since enumeration
NPPES CertifiedDecember 18, 2020
NPI 1619180064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses Licensed in MI · 4704299051 Licensed in IL · A0307202
1221 SIXTH ST STE 300, Traverse City, MI 49684

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. Jenifer Lyn Green Cnp 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.

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.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Surgery
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684
Physician Assistant (Surgical)
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684
Physician Assistant
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684
Neurological Surgery
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684
Neurological Surgery
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684
Surgery
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684
Surgery
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684
Nurse Practitioner (Family)
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619180064, enumerated as an "individual" on May 08, 2007.

The provider is located at 1221 SIXTH ST STE 300 TRAVERSE CITY, MI 49684 and the phone number is (231) 392-0640.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.