Individual provider Active NPI

Kristen Lee Green, FNP-C

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1255511713
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN114967/AP2161 Issued in AZ
Practice address
1500 S Dobson Rd Ste 202
Mesa, AZ 85202-4724
Phone
(866) 974-2673
Fax
(866) 939-2673
NPI assigned
Nov 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN114967/AP2161 AZ Primary

Addresses

Primary practice location

1500 S Dobson Rd Ste 202
Mesa, AZ 85202-4724

Mailing address

18444 N 25TH Ave Ste 310
Phoenix, AZ 85023-1266
Phone (866) 974-2673

Other practice location 1

2095 W Pecos Rd Ste A8
Chandler, AZ 85224-5724
Phone (480) 467-2273

Other practice location 2

9060 E Via Linda Ste 250
Scottsdale, AZ 85258-5425
Phone (480) 500-2200

Other practice location 3

645 E Missouri Ave Ste 300
Phoenix, AZ 85012-1351
Phone (480) 500-2540

Other practice location 4

3591 S Mercy Rd Ste 204
Gilbert, AZ 85297-2240
Phone (866) 974-2673

Other practice location 5

18444 N 25th Ave Ste 120
Phoenix, AZ 85023-1262
Phone (866) 974-2673

Other practice location 6

8952 E Desert Cove Ave Ste 113
Scottsdale, AZ 85260-6776
Phone (866) 974-2673

Other identifiers 1

IdentifierTypeStateIssuer
977481MedicaidAZ

Other names 1

  • Kristen Lee Kassapis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20051024000090 AZ Practitioner - Nurse Practitioner 3173549672 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Orthopedic Research and Education LLCGroup PAC ID 0345287322, 247 clinicians

Practice addresses (Care Compare)

3591 S Mercy Rd
Suite 204
Gilbert, AZ 85297-2240
Phone (866) 974-2673

Merit-based Incentive Payment System (MIPS)

Final score
83.21 of 100Reported as group
Quality
77.66
Promoting interoperability
100
Improvement activities
40
Cost
66.36

Merit-based Incentive Payment System (MIPS)

Final score
85.65 of 100Reported as group
Quality
76.23
Promoting interoperability
100
Improvement activities
40
Cost
75.95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN114967/AP2161AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth-Fastmed Ambulatory Holdings LLC CurrentSince Dec 1, 2020 Accepting new patients
Honorhealth-Fastmed Ambulatory Holdings LLC Current Accepting new patients
Emergency Professional Services PC Current Accepting new patients
Center for Orthopedic Research and Education, LLC Current Accepting new patients
Center for Orthopedic Research and Education LLC CurrentSince Oct 2, 2023 Accepting new patients
Center for Orthopedic Research and Educatoin CurrentSince Oct 2, 2023 Accepting new patients
Emergency Professional Services PC CurrentSince Jan 1, 2008 Accepting new patients
Honorhealth-Fastmed Ambulatory Holdings LLC CurrentSince Dec 1, 2020 Accepting new patients
Honorhealth Urgent Care, LLC Current Accepting new patients
Honorhealth Urgent Care, LLC CurrentSince Jan 22, 2024 Accepting new patients
Emergency Professional Services PC CurrentSince Jan 1, 2008 Accepting new patients

Locations

3648 W Anthem Way
Bldg A100C
Anthem, AZ 85086
Phone (623) 434-6444

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

3591 S Mercy Rd
Ste 204
Gilbert, AZ 85297
Phone (869) 742-6736

415 N Val Vista Dr
Ste 101
Mesa, AZ 85213
Phone (480) 654-5661

1500 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (480) 306-6098

1810 S Power Rd
Ste 101
Mesa, AZ 85206
Phone (480) 214-0045

1500 S Dobson Rd
Ste 202
Mesa, AZ 85202
Phone (866) 974-2676

1500 S Dobson Rd
Ste 200
Mesa, AZ 85202
Phone (480) 833-5437

835 W University Dr
Mesa, AZ 85201
Phone (480) 664-6007

18444 N 25th Ave
Ste 120
Phoenix, AZ 85023

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1300 N 12th St
Ste 301
Phoenix, AZ 85006
Phone (602) 239-6968

5259 W Indian School Rd
Ste 100
Phoenix, AZ 85031
Phone (623) 888-5101

8260 W Indian School Rd
Ste 1
Phoenix, AZ 85033
Phone (623) 846-7122

18444 N 25th Ave
Ste 310
Phoenix, AZ 85023
Phone (623) 241-8706

8952 E Desert Cove Ave
Ste 113
Scottsdale, AZ 85260
Phone (480) 314-7772

10494 W Thunderbird Blvd
Ste 102
Sun City, AZ 85351
Phone (623) 975-8311

3244 S Mill Ave
Ste 101
Tempe, AZ 85282
Phone (480) 214-0621

9870 W Lower Buckeye Rd
Ste 170
Tolleson, AZ 85353
Phone (480) 500-2286

Interoperability endpoints

  • Direct secure messaging: kgreen441471@direct.honorhealth.com
  • Direct secure messaging: kristen.green.1@22724.direct.athenahealth.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1255511713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18444 N 25TH AVE STE 310",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850231266",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S DOBSON RD STE 202",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024724",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2095 W Pecos Rd Ste A8",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852245724",
            "country_code": "US",
            "telephone_number": "480-467-2273",
            "fax_number": "480-664-7610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9060 E Via Linda Ste 250",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852585425",
            "country_code": "US",
            "telephone_number": "480-500-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "645 E Missouri Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850121351",
            "country_code": "US",
            "telephone_number": "480-500-2540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3591 S Mercy Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852972240",
            "country_code": "US",
            "telephone_number": "866-974-2673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18444 N 25th Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850231262",
            "country_code": "US",
            "telephone_number": "866-974-2673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8952 E Desert Cove Ave Ste 113",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852606776",
            "country_code": "US",
            "telephone_number": "866-974-2673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "KRISTEN",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN114967/AP2161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "977481",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "KASSAPIS",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.