Charmaine Green, ARNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

AP61325159 Issued in WA

Practice address

150 Dennis St SW
Tumwater, WA 98501-5459

Phone

(360) 754-6367

NPI assigned

Sep 12, 2022

Last updated

Sep 15, 2022By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capital Medical Center Physicians LLCGroup PAC ID 3678639879, 59 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Capital Medical Center Hospital, Olympia, WA, CCN 500139

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FDHGAA

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.

• Capital Medical Center Physicians LLC

  dba Olympia Family Medicine

  • Family Medicine Physician
  • Olympia, WA
  • NPI 1629214283
  Medicare reassignment Care Compare group NPD
• Tumwater Family Practice Clinic

  • Family Medicine Physician
  • Tumwater, WA
  • NPI 1881638559
  Medicare reassignment NPD
• Capital Medical Center Physicians LLC

  dba Montesano Internal Medicine by MultiCare

  • Internal Medicine Physician
  • Montesano, WA
  • NPI 1710744792
  NPD
• Olympia Family Medicine, Inc.

  • Family Medicine Physician
  • Olympia, WA
  • NPI 1023201126
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Multicare Health System

  dba MultiCare Capital Medical Center

  • General Acute Care Hospital
  • Olympia, WA
  • NPI 1841258639
  Care Compare affiliation

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1174245625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 DENNIS ST SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985015459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 DENNIS ST SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985015459",
            "telephone_number": "360-754-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "CHARMAINE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "AP61325159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Grannemann
• Rebecca Marie Grant
• Lowell B. Graves, GAMBLING COUNSELOR
• Makena Graves
• Elizabeth A Green-Taylor, MASSAGE THERAPIST
• Steven Green
• Gresia Counseling & Wellness, PLLC
• Erin Grey, DPT
• Carrie Lynn Griffin
• Terron Griffis, DC

• Family Medicine Physician in Tumwater, WA
• Providers in Tumwater, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.