MANDY GREEN NP-C
NPI 1811241292
Nurse Practitioner in Tyler, TX

Q: What is Mandy Green's NPI number?

The NPI number for Mandy Green is 1811241292. It was assigned to this individual provider in the NPPES registry on November 6, 2012.

Q: What is Mandy Green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Mandy Green was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 November 06, 2012PECOS EnrolledAccepts Medicare Assignment

910 E HOUSTON ST, STE 230, TYLER, TX 75702(903) 525-7300 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mandy Green Np-c NPPES

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

MANDY GREEN NP-C (NPI 1811241292) is an individual nurse practitioner in Tyler, Texas, licensed in Texas (AP122656) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS, is affiliated with Christus Mother Frances Hospital, and maintains a secondary practice location in Tyler.

NPPES Registry Identity

NPI1811241292

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMANDY GREENCredential: NP-C

Location Address910 E HOUSTON ST, STE 230Tyler, TX 75702-8369

Mailing AddressPo Box 846098Dallas, TX 75284-6098 · (903) 324-6400

Phone(903) 525-7300

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateNovember 6, 2012

Last NPPES UpdateApril 17, 2025

NPPES CertifiedApril 17, 2025

✔ NPI 1811241292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in TX · AP122656✔ Licensed in TX · 679662

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

910 E HOUSTON ST, Tyler, TX 75702

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Secondary Practice Location 1

Location 1910 E Houston St Ste 250Tyler, TX 75702-8364 · Phone (903) 606-7300

Other Identifiers 1

Other679662TX · Texas Board Of Nursing

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

Mandy Green Np-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 ID1658518402

PECOS Enrollment IDI20130515000004

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

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

321 services89 patients

Hospital Affiliations CMS Care Compare

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

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450102

Location800 East DawsonTyler, TX 75701 · Smith County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75702 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 20

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

DR. FRANK T WARD MD

Internal Medicine (Hematology & Oncology)

910 E HOUSTON ST
TYLER, TX 75702

Smith County (903) 579-9800

JULIE ADAMS NP

Nurse Practitioner

910 E HOUSTON ST, STE. 330
TYLER, TX 75702

Smith County (903) 525-7995

DR. WILLIAM R. POWELL MD

Internal Medicine (Interventional Cardiology)

910 E HOUSTON ST
TYLER, TX 75702

Smith County (903) 525-2992

WILLIAM BRUCE HARRELL M.D.

Urology

910 E HOUSTON ST, STE 600
TYLER, TX 75702

Smith County (903) 526-2644

ROBERT S ELLIS MD

Surgery (Trauma Surgery)

910 E HOUSTON ST, STE 530
TYLER, TX 75702

Smith County (903) 531-5560

ERIN LEA PHILLIPS MD

Psychiatry & Neurology (Neurology)

910 E HOUSTON ST, STE 330
TYLER, TX 75702

Smith County (903) 510-8848

APRIL MICHELLE COURSEY NP-C

Nurse Practitioner

910 E HOUSTON ST, STE 550
TYLER, TX 75702

Smith County (903) 510-8718

MATTHEW V LAND PA

Physician Assistant

910 E HOUSTON ST, STE 330
TYLER, TX 75702

Smith County (903) 525-7995

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 Mandy Green's NPI number?

The NPI number for Mandy Green is 1811241292. It was assigned to this individual provider in the NPPES registry on November 6, 2012.

Where is Mandy Green located?

Mandy Green practices at 910 E Houston St Ste 230, Tyler, TX 75702. The listed phone number is (903) 525-7300.

What is Mandy Green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mandy Green enrolled in Medicare?

Yes. Mandy Green is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Mandy Green affiliated with any hospitals?

According to CMS data, Mandy Green is affiliated with Christus Mother Frances Hospital.

When was this NPI record last updated?

The NPPES record for Mandy Green was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.