NPIMap

Individual provider Active NPI

Lisa Marie Greene, FNP

  • Family Nurse Practitioner
  • Monroe, NC
National Provider Identifier
1346811411
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5014763 Issued in NC
Practice address
3007 Wesley Chapel Stouts Rd Ste B
Monroe, NC 28110-4008
Phone
(704) 412-3612
NPI assigned
Jul 8, 2021
Last updated
Aug 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5014763 NC Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3007 Wesley Chapel Stouts Rd Ste B
Monroe, NC 28110-4008

Mailing address

3230 Highway 274
Cherryville, NC 28021-9637
Phone (980) 522-6680

Other practice location 1

3230 Highway 274
Cherryville, NC 28021-9637
Phone (980) 522-6680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211001001807 NC Practitioner - Nurse Practitioner 6608274832 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hildebran Medical Clinic LLCGroup PAC ID 2365481397, 4 clinicians

Practice addresses (Care Compare)

107 S Ctr St
Hildebran, NC 28637-8304
Phone (828) 397-3522

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5014763NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Occupational Health P.C. CurrentSince Oct 11, 2021 Accepting new patients
SCRN LLC CurrentSince Jul 1, 2021 Accepting new patients
Hildebran Medical Clinic, LLC CurrentSince Apr 11, 2023 Accepting new patients

Locations

1110 Kildaire Farm Rd
Cary, NC 27511
Phone (919) 481-0277

107 S Center St
Hildebran, NC 28637
Phone (828) 397-3522

3007 Wesley Chapel Stouts Rd
Ste B
Monroe, NC 28110
Phone (704) 412-3612

Organizations & group practices 3

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.

Hospital & facility affiliations 7

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": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1346811411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 HIGHWAY 274",
            "city": "CHERRYVILLE",
            "state": "NC",
            "postal_code": "280219637",
            "telephone_number": "980-522-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 WESLEY CHAPEL STOUTS RD STE B",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281104008",
            "telephone_number": "704-412-3612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3230 Highway 274",
            "address_purpose": "LOCATION",
            "city": "Cherryville",
            "state": "NC",
            "postal_code": "280219637",
            "country_code": "US",
            "telephone_number": "980-522-6680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5014763",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.