STEPHANIE KEETON GREEN AG ACNP
NPI 1801421300
Nurse Practitioner - Acute Care in Dallas, TX

Q: What is Stephanie Green's NPI number?

The NPI number for Stephanie Green is 1801421300. It was assigned to this individual provider in the NPPES registry on March 5, 2020. The provider is also known as Stephanie N Keeton.

Q: What is Stephanie Green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Green was last updated on March 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 05, 2020PECOS Enrolled

221 W COLORADO BLVD STE 525, DALLAS, TX 75208(214) 960-5681 Get Directions Write a Review

NPPES record last updated: March 17, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2020, Mar 5, 2020 (2 updates tracked since 2020).

On this page

About Stephanie Keeton Green Ag Acnp NPPES

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

STEPHANIE KEETON GREEN AG ACNP (NPI 1801421300) is an individual acute care provider in Dallas, Texas, licensed in Texas (AP145320) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1801421300

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameSTEPHANIE KEETON GREENCredential: AG ACNP

Location Address221 W COLORADO BLVD STE 525Dallas, TX 75208-2312

Mailing Address221 W Colorado Blvd, Ste 525Dallas, TX 75208-2312 · (214) 960-5681

Phone(214) 960-5681

Sole ProprietorNo

Enumeration DateMarch 5, 2020

Last NPPES UpdateMarch 17, 20222 updates tracked since enumeration

NPPES CertifiedMarch 17, 2022

✔ NPI 1801421300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TX · AP145320

221 W COLORADO BLVD STE 525, Dallas, TX 75208

Open in Google Maps ↗

Other Names 1

Former Name (1)Stephanie N Keeton

Secondary Practice Location 1

Location 11441 N Beckley AveDallas, TX 75203-1201 · Phone (214) 947-8181

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Keeton Green Ag Acnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Stephanie Green reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dallas Pulmonary & Critical Care PA

Same address

Critical Care Medicine

221 W COLORADO BLVD STE 525
Dallas, TX 75208

Reassigned Medicare billing, Texas enrollment
254 clinicians in this Medicare group

NPI 1235402728 (214) 960-5681

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 75208 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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 20

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

JACQUELINE NICOLE HORST M.D.

Internal Medicine (Pulmonary Disease)