KIMBERLY GREEN NP-C
NPI 1902187909
Nurse Practitioner - Family in Brooklyn, NY

Q: What is Kimberly Green's NPI number?

The NPI number for Kimberly Green is 1902187909. It was assigned to this individual provider in the NPPES registry on September 2, 2011.

Q: What is Kimberly 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 Kimberly Green was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 02, 2011PECOS Enrolled

815 BROADWAY, BROOKLYN, NY 11206(646) 614-8200(646) 614-8200 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Kimberly Green Np-c NPPES

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

KIMBERLY GREEN NP-C (NPI 1902187909) is an individual family provider in Brooklyn, New York, licensed in New York (F342570-1) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1902187909

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY GREENCredential: NP-C

Location Address815 BROADWAYBrooklyn, NY 11206-5318

Mailing Address815 BroadwayBrooklyn, NY 11206-5318 · (646) 614-8386 · Fax (646) 614-8200

Phone(646) 614-8200

Fax(646) 614-8200

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateSeptember 2, 2011

Last NPPES UpdateOctober 15, 2025

NPPES CertifiedOctober 15, 2025

✔ NPI 1902187909 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 NY · F342570-1

Also ListedRegistered NurseTaxonomy 163W00000X · License 6421131 (NY)

815 BROADWAY, Brooklyn, NY 11206

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Green Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820424633

PECOS Enrollment IDI20200213002395

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

Medicare enrollment records show Kimberly Green reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New York City Health And Hospitals Corporation

0.2 mi

Clinic/Center

BROADWAY COMMUNITY CENTER OF EXCELLENCE, 815 BROADWAY
Brooklyn, NY 11206

Reassigned Medicare billing, New York enrollment
1,615 clinicians in this Medicare group

NPI 1922736727 (646) 614-8265

Downtown Bronx Medical Associates PC

8.2 mi

Emergency Medical Services

234 E 149TH ST, STE 8D200
Bronx, NY 10451

Reassigned Medicare billing, New York enrollment
971 clinicians in this Medicare group

NPI 1689618407 (718) 576-6200

Lefferts Medical Associates PC

13 mi

Internal Medicine

26619 UNION TPKE
New Hyde Park, NY 11040

Reassigned Medicare billing, New York enrollment
39 clinicians in this Medicare group

NPI 1700922150 (718) 347-0434

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

43 services34 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

41 services20 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

28 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11206 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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 16

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

DR. RACHEL RUTH BUXBAUM PHD

Psychologist