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

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: August 09, 2026.

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
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

Medicare Participation & PECOS CMS

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

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.

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 14

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

Psychologist
815 BROADWAY
BROOKLYN, NY 11206
Psychiatry & Neurology (Psychiatry)
815 BROADWAY
BROOKLYN, NY 11206
Nurse Practitioner (Family)
815 BROADWAY
BROOKLYN, NY 11206
Nurse Practitioner (Adult Health)
815 BROADWAY
BROOKLYN, NY 11206
Social Worker (Clinical)
815 BROADWAY
BROOKLYN, NY 11206
Internal Medicine
815 BROADWAY
BROOKLYN, NY 11206
Social Worker (Clinical)
815 BROADWAY
BROOKLYN, NY 11206
Podiatrist
815 BROADWAY
BROOKLYN, NY 11206

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 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.

Where is Kimberly Green located?

Kimberly Green practices at 815 Broadway, Brooklyn, NY 11206. The listed phone number is (646) 614-8200.

What is Kimberly Green's specialty?

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

Is Kimberly Green enrolled in Medicare?

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

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 9 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.