DOLLICIA GREEN APRN
NPI 1891149324
Nurse Practitioner - Family in Melrose, FL

Active since April 21, 2016PECOS Enrolled
1326 STATE ROAD 100, MELROSE, FL 32666(386) 659-2104 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 6, 2022, Nov 18, 2021, Oct 23, 2018 and 2 more (5 updates tracked since 2016).

About Dollicia Green Aprn NPPES

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

DOLLICIA GREEN APRN (NPI 1891149324) is an individual family provider in Melrose, Florida, licensed in Florida (ARNP9185910) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891149324
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDOLLICIA GREENCredential: APRN
Location Address1326 STATE ROAD 100Melrose, FL 32666-3701
Mailing Address430 Lake Shore DrInterlachen, FL 32148-5825
Sole ProprietorYes
Enumeration DateApril 21, 2016
Last NPPES UpdateDecember 6, 20225 updates tracked since enumeration
NPPES CertifiedDecember 6, 2022
✔ NPI 1891149324 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 FL · ARNP9185910
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
1326 STATE ROAD 100, Melrose, FL 32666

Other Identifiers 1

Medicaid112294600FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dollicia Green Aprn 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 Reassignments

2

Medicare enrollment records show Dollicia Green reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
5130 SUNFOREST DR STE 300
Tampa, FL 33634
  • Reassigned Medicare billing, Florida enrollment
  • 315 clinicians in this Medicare group
Family
7955 TUCKERMAN LN
Rockville, MD 20854
  • Reassigned Medicare billing, Florida enrollment
  • 517 clinicians in this Medicare group

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 32666 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 5

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

Midwife
1326 STATE ROAD 100
MELROSE, FL 32666
Midwife
1326 STATE ROAD 100
MELROSE, FL 32666
General Practice
1326 STATE ROAD 100
MELROSE, FL 32666
Family Medicine
1326 STATE ROAD 100
MELROSE, FL 32666
Clinic/Center (Rural Health)
1326 STATE ROAD 100
MELROSE, FL 32666

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 Dollicia Green's NPI number?

The NPI number for Dollicia Green is 1891149324. It was assigned to this individual provider in the NPPES registry on April 21, 2016.

Where is Dollicia Green located?

Dollicia Green practices at 1326 State Road 100, Melrose, FL 32666. The listed phone number is (386) 659-2104.

What is Dollicia Green's specialty?

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

Is Dollicia Green enrolled in Medicare?

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

Which organizations bill Medicare for Dollicia Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dollicia Green reassigns Medicare benefits to 2 organizations: Optumcare Florida LLC (Tampa, FL) and Minuteclinic LLC (Rockville, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dollicia Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dollicia Green was last updated on December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.