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KENDRA JANE GREEN FNP-C
NPI 1952849770
Nurse Practitioner - Family in O Fallon, IL

Active since February 01, 2017PECOS EnrolledAccepts Medicare Assignment
90/100
CMS Quality Rating
4905 STONE FALLS CTR STE B, O FALLON, IL 62269(618) 277-0001(618) 277-7339 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 17, 2023, Feb 1, 2017 (2 updates tracked since 2017).

About Kendra Jane Green Fnp-c NPPES

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

KENDRA JANE GREEN FNP-C (NPI 1952849770) is an individual family provider in O Fallon, Illinois, licensed in Illinois (209015569) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1952849770
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKENDRA JANE GREENCredential: FNP-C
Location Address4905 STONE FALLS CTR STE BO Fallon, IL 62269-7802
Mailing Address4905 Stone Falls Ctr Ste BO Fallon, IL 62269-7802 · (618) 277-0001 · Fax (618) 277-7339
Phone(618) 277-0001
Fax(618) 277-7339
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 1, 2017
Last NPPES UpdateFebruary 17, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2023
✔ NPI 1952849770 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 IL · 209015569
4905 STONE FALLS CTR STE B, O Fallon, IL 62269
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Kendra Jane 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 ID5597049502
PECOS Enrollment IDI20170310000551
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 8

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
113 services73 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
80 services14 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
79 services54 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
70 services70 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
42 services32 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
17 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

ADVANCED ANKLE AND FOOT SURGEONS, LLC
Podiatrist
4905 STONE FALLS CTR STE B
O FALLON, IL 62269
St. Clair County (618) 277-0001
ADVANCED ANKLE AND FOOT SURGEONS, LLC
Podiatrist
4905 STONE FALLS CTR STE B
O FALLON, IL 62269
St. Clair County (618) 277-0001
DR. JAMES DREW TAYLOR DPM
Podiatrist
4905 STONE FALLS CTR STE B
O FALLON, IL 62269
St. Clair County (618) 277-0001
BRYAN F GUIGNON DPM
Podiatrist
4905 STONE FALLS CTR STE B
O FALLON, IL 62269
St. Clair County (618) 277-0001

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 Kendra Green's NPI number?

The NPI number for Kendra Green is 1952849770. It was assigned to this individual provider in the NPPES registry on February 1, 2017.

Where is Kendra Green located?

Kendra Green practices at 4905 Stone Falls Ctr Ste B, O Fallon, IL 62269. The listed phone number is (618) 277-0001.

What is Kendra Green's specialty?

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

Is Kendra Green enrolled in Medicare?

Yes. Kendra 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.

What insurance does Kendra Green accept?

Health plans from UnitedHealthcare list Kendra Green as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kendra Green was last updated on February 17, 2023. 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.