MRS. JACLYN BIONDINI GREEN FNP-C
NPI 1912637034
Nurse Practitioner - Family in West Monroe, LA

Q: What is Jaclyn Green's NPI number?

The NPI number for Jaclyn Green is 1912637034. It was assigned to this individual provider in the NPPES registry on June 13, 2022.

Q: What is Jaclyn 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 Jaclyn Green was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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 June 13, 2022PECOS EnrolledAccepts Medicare Assignment

503 MCMILLAN RD, WEST MONROE, LA 71291(318) 329-4462(318) 329-4467 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 22, 2024, Jul 14, 2022 (2 updates tracked since 2022).

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About Mrs. Jaclyn Biondini Green Fnp-c NPPES

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

MRS. JACLYN BIONDINI GREEN FNP-C (NPI 1912637034) is an individual family provider in West Monroe, Louisiana, licensed in Louisiana (225863) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with St Francis Medical Center, and maintains a secondary practice location in Monroe.

NPPES Registry Identity

NPI1912637034

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. JACLYN BIONDINI GREENCredential: FNP-C

Location Address503 MCMILLAN RDWest Monroe, LA 71291-5327

Mailing Address503 Mcmillan RdWest Monroe, LA 71291-5327 · (318) 329-4462 · Fax (318) 329-4467

Phone(318) 329-4462

Fax(318) 329-4467

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJune 13, 2022

Last NPPES UpdateNovember 22, 20242 updates tracked since enumeration

NPPES CertifiedNovember 22, 2024

✔ NPI 1912637034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in LA · 225863

503 MCMILLAN RD, West Monroe, LA 71291

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Secondary Practice Location 1

Location 1309 Jackson StMonroe, LA 71201-7407 · Phone (318) 966-4541 · Fax (318) 966-4543

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana.Insurance ›

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

Mrs. Jaclyn Biondini Green Fnp-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 ID4284161704

PECOS Enrollment IDI20241223001965

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.

Hospital Affiliations CMS Care Compare

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

St Francis Medical Center

Acute Care Hospitals · Monroe, LA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190125

Location309 Jackson StreetMonroe, LA 71201 · Ouachita County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71291 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

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

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.

MR. JOHN EDWARD ZITZMANN III R.PH.

Pharmacist