MR. JACOB GREEN FNP-C
NPI 1669921789
Nurse Practitioner - Family in Mount Pleasant, TX

Q: What is Jacob Green's NPI number?

The NPI number for Jacob Green is 1669921789. It was assigned to this individual provider in the NPPES registry on September 30, 2016.

Q: What is Jacob Green's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacob Green was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since September 30, 2016PECOS EnrolledAccepts Medicare Assignment

2101 MULBERRY AVE, MOUNT PLEASANT, TX 75455(903) 434-4850 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2026, Nov 11, 2025, May 9, 2025 and 5 more (8 updates tracked since 2016).

On this page

About Mr. Jacob Green Fnp-c NPPES

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

MR. JACOB GREEN FNP-C (NPI 1669921789) is an individual family provider in Mount Pleasant, Texas, licensed in Texas (718581) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS, is affiliated with Titus Regional Medical Center, and maintains a secondary practice location in Mount Pleasant.

NPPES Registry Identity

NPI1669921789

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. JACOB GREENCredential: FNP-C

Location Address2101 MULBERRY AVEMount Pleasant, TX 75455-1105

Mailing Address2001 N Jefferson AveMount Pleasant, TX 75455-2338 · (903) 577-6000

Phone(903) 434-4850

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 30, 2016

Last NPPES UpdateApril 27, 20268 updates tracked since enumeration

NPPES CertifiedApril 27, 2026

✔ NPI 1669921789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · 718581

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 132269 (TX)

2101 MULBERRY AVE, Mount Pleasant, TX 75455

Open in Google Maps ↗

Secondary Practice Location 1

Location 12001 N Jefferson Ave Ste 100Mount Pleasant, TX 75455-1104 · Phone (903) 577-6787 · Fax (903) 434-8072

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Jacob Green Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739461435

PECOS Enrollment IDI20170112001640

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 7

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

132 services105 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

54 services43 patients

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.

37 services34 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

21 services16 patients

Injection, methylprednisolone acetate, 80 mg J1040

Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.

21 services19 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

19 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Titus Regional Medical Center

Acute Care Hospitals · Mount Pleasant, TX

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450080

Location2001 N JeffersonMount Pleasant, TX 75455 · Titus County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75455 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. AGNES MARIE YAHL FNP

Nurse Practitioner (Family)