Connie Green, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

34033 Issued in WV

Practice address

1902 Harper Rd Ste Abc
Beckley, WV 25801-2642

Phone

(304) 253-3000

Fax

(304) 929-2038

NPI assigned

Oct 26, 2005

Last updated

Sep 26, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

West Virginia University School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Med Surg Physician Group, IncGroup PAC ID 2365710761, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: connie.green.1@16151.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/16151/brand/2/csg/1/fhir/r4
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Med Surg Physician Group, Inc.

  • Specialist
  • Beckley, WV
  • NPI 1063943678
  Medicare reassignment Care Compare group NPD
• Beckley Health Right, Inc

  • Voluntary or Charitable Agency
  • Beckley, WV
  • NPI 1538580931
  Medicare reassignment NPD
• Med Surg Physician Group, Inc.

  dba Elena Behavioral Health

  • Addiction (Substance Use Disorder) Counselor
  • Beckley, WV
  • NPI 1083373997
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1083604441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 HARPER RD STE ABC",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012642",
            "telephone_number": "304-253-3000",
            "fax_number": "304-929-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 HARPER RD STE ABC",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012642",
            "telephone_number": "304-253-3000",
            "fax_number": "304-929-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "CONNIE",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "34033",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WV",
            "license": "34033",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0166829000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Jane Graybeal, M.D
• Adriel R. Green, DPT
• Alinda Green
• Cathy Green
• Charity Green, MSW
• David Green
• Emmanuel Green
• Keith Thomas Green
• Mary Green
• Neffaterrie Green

• Family Nurse Practitioner in Beckley, WV
• Providers in Beckley, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.