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JESSICA JASMINE GREEN PNP
NPI 1639628407
Nurse Practitioner - Pediatrics in Glen Allen, VA

Active since September 22, 2016PECOS Enrolled
4687 POUCEY TRACT ROAD, GLEN ALLEN, VA 23059(804) 422-5437 Get Directions Write a Review

NPPES record last updated: September 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Jasmine Green Pnp NPPES

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

JESSICA JASMINE GREEN PNP (NPI 1639628407) is an individual pediatrics provider in Glen Allen, Virginia, licensed in Virginia (0024173970) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639628407
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJESSICA JASMINE GREENCredential: PNP
Location Address4687 POUCEY TRACT ROADGlen Allen, VA 23059
Mailing Address4687 Poucey Tract RoadGlen Allen, VA 23059 · (757) 604-5446
Phone(804) 422-5437
Sole ProprietorNo
Enumeration DateSeptember 22, 2016
✔ NPI 1639628407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in VA · 0024173970
4687 POUCEY TRACT ROAD, Glen Allen, VA 23059
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Jasmine Green Pnp 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 23059 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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 Jessica Green's NPI number?

The NPI number for Jessica Green is 1639628407. It was assigned to this individual provider in the NPPES registry on September 22, 2016.

Where is Jessica Green located?

Jessica Green practices at 4687 Poucey Tract Road, Glen Allen, VA 23059. The listed phone number is (804) 422-5437.

What is Jessica Green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Jessica Green enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jessica Green was last updated on September 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.