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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: August 16, 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
Phone(231) 392-0640
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
Open in Google Maps ↗

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.

DR. JUSTINE PEARL M.D.
Neurological Surgery
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 392-0640
JEFFERSON D ALFERINK PA-C
Physician Assistant
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 392-0640
JENNIFER S KANG MD
Neurological Surgery
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 392-0640
DR. LEEDA BASHARDOST MD, MHSS, FRCPC
Psychiatry & Neurology (Vascular Neurology)
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 932-0640
DR. DAVID ROSENBAUM M.D.
Psychiatry & Neurology (Vascular Neurology)
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 392-0640
WALTER CHANNING NOBLE M.D.
Surgery
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-2400
DR. SHRUTI SEVAK M.D.
Surgery
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-2400
ROCHE J FEATHERSTONE M.D.
Specialist
1221 SIXTH ST STE 300
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-2400

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.

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.