Individual provider Active NPI

Clara Dornisha Green, APRN

  • Gerontology Nurse Practitioner
  • Reno, NV
National Provider Identifier
1194331470
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
868766 Issued in NV
Practice address
645 N Arlington Ave Ste 335
Reno, NV 89503-4460
Phone
(775) 770-6230
NPI assigned
Sep 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP146179 TX
Gerontology Nurse Practitioner 363LG0600X 868766 NV Primary

Addresses

Primary practice location

645 N Arlington Ave Ste 335
Reno, NV 89503-4460

Mailing address

1155 Mill St
Reno, NV 89502-1576
Phone (775) 982-5262

Other practice location 1

1155 Mill St
Reno, NV 89502-1576
Phone (775) 982-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, NV, CO, CA, MO, KS7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20201120001393 TX Practitioner - Nurse Practitioner 7618388703 Reassigns benefits to 1 organization
I20210802000559 NM Practitioner - Nurse Practitioner 7618388703 Reassigns benefits to 1 organization
I20231108002136 NV Practitioner - Nurse Practitioner 7618388703 Reassigns benefits to 3 organizations
I20250826004245 CO Practitioner - Nurse Practitioner 7618388703 Reassigns benefits to 1 organization
I20250930001502 CA Practitioner - Nurse Practitioner 7618388703 Reassigns benefits to 1 organization
I20260306000891 MO Practitioner - Nurse Practitioner 7618388703 Reassigns benefits to 1 organization
I20260314000234 KS Practitioner - Nurse Practitioner 7618388703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Robert Marriott Medical CorpGroup PAC ID 2567531494, 63 clinicians
Community Care Services LLCGroup PAC ID 1951324318, 630 clinicians

Practice addresses (Care Compare)

104 Lois LN
Colorado Springs, CO 80904-1320
Phone (719) 635-2569

1155 Mill St
Reno, NV 89502-1576
Phone (775) 982-4000

1420 S 3Rd Ave
Advantage Wound Care
Sterling, CO 80751-4650
Phone (970) 522-2933

2200 Edison St
Advantage Wound Care
Brush, CO 80723-1609
Phone (970) 842-2825

2501 Little Bookcliff Dr
Grand Junction, CO 81501-8802
Phone (970) 245-1211

3101 Plumas St
Reno, NV 89509-4515
Phone (775) 433-2700

801 Euclid Ave
Advantage Wound Care
Cameron, MO 64429-2003
Phone (816) 632-7254

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP146179TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC CurrentSince Jan 14, 2026 Accepting new patients
Saint Mary'S Medical Group Inc CurrentSince Sep 18, 2023 Accepting new patients
Community Care Services LLC CurrentSince Jan 14, 2026 Accepting new patients
Revenge Medical Inc Primary Care CurrentSince May 22, 2025 Accepting new patients
Saint Marys Urgent Care LLC Current Accepting new patients
Robert Marriott Medical Corp CurrentSince Jun 22, 2021 Accepting new patients
Saint Marys Medical Group Inc. CurrentSince Sep 18, 2023 Accepting new patients

Locations

222 N Pacific Coast Hwy
Ste 1420
El Segundo, CA 90245

1801 W Olympic Blvd
#1461
Pasadena, CA 91199

1155 Mill St
Reno, NV 89502
Phone (775) 982-7878

343 Elm St
Ste 201
Reno, NV 89503
Phone (775) 333-5555

411 W 6th St
Reno, NV 89503
Phone (775) 770-3209

3101 Plumas St
Reno, NV 89509
Phone (775) 433-2700

645 N Arlington Ave
Ste 335
Reno, NV 89503
Phone (775) 770-6230

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

18653 Wedge Pkwy
Ste 110
Reno, NV 89511
Phone (775) 352-7201

330 W Ben White Blvd
Austin, TX 78704
Phone (512) 705-7383

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1194331470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5262",
            "fax_number": "775-982-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N ARLINGTON AVE STE 335",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034460",
            "telephone_number": "775-770-6230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 Mill St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895021576",
            "country_code": "US",
            "telephone_number": "775-982-4100",
            "fax_number": "775-982-4196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "CLARA",
        "middle_name": "DORNISHA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP146179",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NV",
            "license": "868766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.