KIMBERLY GREEN MSN, FNP-BC
NPI 1902687890
Nurse Practitioner - Family in Las Vegas, NV

Active since October 09, 2023PECOS EnrolledAccepts Medicare Assignment
701 SHADOW LANE, LAS VEGAS, NV 89106(702) 383-2000 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 30, 2025, Dec 13, 2024, Dec 12, 2023 and 2 more (5 updates tracked since 2023).

About Kimberly Green Msn, Fnp-bc NPPES

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

KIMBERLY GREEN MSN, FNP-BC (NPI 1902687890) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (873341) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with University Medical Center, and maintains a secondary practice location in Henderson.

NPPES Registry Identity

NPI1902687890
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY GREENCredential: MSN, FNP-BC
Location Address701 SHADOW LANELas Vegas, NV 89106
Mailing Address1800 W Charleston BlvdLas Vegas, NV 89102-2329 · (702) 383-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 9, 2023
Last NPPES UpdateMay 30, 20255 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
NPI 1902687890 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 NV · 873341
Also ListedRegistered NurseTaxonomy 163W00000X · License RN71166 (NV)
701 SHADOW LANE, Las Vegas, NV 89106

Secondary Practice Location 1

Location 11701 N Green Valley Pkwy Ste 8FHenderson, NV 89074-5991 · Phone (702) 661-3438

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

Kimberly Green Msn, Fnp-bc 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 ID3779928791
PECOS Enrollment IDI20240229002991
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.
22 services13 patients

Hospital Affiliations CMS Care Compare

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

University Medical Center

Acute Care Hospitals · Las Vegas, NV
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number290007
Location1800 W Charleston BlvdLas Vegas, NV 89102 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89106 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

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 1902687890. It was assigned to this individual provider in the NPPES registry on October 9, 2023.

Where is Kimberly Green located?

Kimberly Green practices at 701 Shadow Lane, Las Vegas, NV 89106. The listed phone number is (702) 383-2000.

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kimberly Green affiliated with any hospitals?

According to CMS data, Kimberly Green is affiliated with University Medical Center.

When was this NPI record last updated?

The NPPES record for Kimberly Green was last updated on May 30, 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.