Stephanie L Green, CFNP
Individual provider Active NPI Family Nurse Practitioner · Picayune, MS
NPI 1376504357 · NPPES record last updated Jun 10, 2026
Key facts
- NPI
- 1376504357
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 804976 (MS)
- Practice address
- 1911 Read Rd
Picayune, MS 39466-2730 - Phone
- (601) 251-3500
- NPI assigned
- Mar 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Blue Mountain Hospital District
Southeast Mississippi Rural Health Initiative, Inc.
Columbia River Health
Practice addresses (Care Compare)
170 Ford Rd
John Day, OR 97845-2009
Phone (541) 575-1311
180 Ford Rd
John Day, OR 97845-2009
Phone (541) 575-0404
1911 Read Rd
Picayune, MS 39466-2730
Phone (601) 251-3500
44 Brooklyn Janice Rd
Brooklyn, MS 39425-9731
Phone (601) 582-1188
450 Tatone St
Boardman, OR 97818-8076
Phone (541) 481-7212
62 Old Airport Rd
Hattiesburg, MS 39401-8382
Phone (601) 544-4550
64 Old Airport Rd
Hattiesburg, MS 39401-8382
Phone (601) 909-9390
66 Old Airport Rd
Hattiesburg, MS 39401-8382
Phone (601) 544-7500
68 Old Airport Rd
Hattiesburg, MS 39401-8382
Phone (601) 545-8700
Hospital & facility affiliations
- Blue Mountain Hospital
- Good Shepherd Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041101000642 | MS | Practitioner - Nurse Practitioner | 8224090303 | Reassigns benefits to 8 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2066 | NE | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Mississippi, PLLC | Current |
Accepting new patients | |
| Sumrall Family Health Center | Current | Accepting new patients | |
| SHC Medical Partners of Mississippi, LLC | Nurse Practitioner | Current |
Accepting new patients |
| Fast Pace Mississippi, PLLC | Nurse Practitioner | Current |
Accepting new patients |
| Semrhi Mobile Healthcare Unit | Current |
Accepting new patients | |
| Forrest County General Hospital | Current | Accepting new patients | |
| Abode Care Partners LTC VB, LLC | Nurse Practitioner | Current |
Accepting new patients |
| Icp Mississippi Aco Billing, LLC | Current |
Accepting new patients | |
| Forrest County General Hospital | Current |
Accepting new patients | |
| Abode Care Partners Al VB, LLC | Nurse Practitioner | Current |
Accepting new patients |
| Hattiesburg Community Dental Center | Current |
Accepting new patients | |
| Abode Care Partners Al VB, LLC | Nurse Practitioner | Current |
Accepting new patients |
| Forrest General Hospital | Current |
Accepting new patients | |
| Trustcare Primary Care, LLC | Past | Accepting new patients | |
| Southeast Mississippi Rural Health Initiative, Inc. | Past | Accepting new patients |
Locations
805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438
805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000
44 Brooklyn Janice Rd
Brooklyn, MS 39425
Phone (601) 582-1188
1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303
6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690
66 Old Airport Rd
Hattiesburg, MS 39401
Phone (601) 544-7500
415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606
415 S 28th Ave
Fl 1
Hattiesburg, MS 39401
Phone (601) 288-5200
605 Stadium Dr
Hattiesburg, MS 39401
Phone (601) 450-0310
232 Market St
Jackson, MS 39232
Phone (588) 498-6767
36 Panther Stadium Dr
Petal, MS 39465
Phone (601) 450-2144
1911 Read Rd
Picayune, MS 39466
Phone (601) 251-3500
1000 Highland Colony Pkwy
Ste 5203
Ridgeland, MS 39157
Phone (601) 427-4734
517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206
Interoperability endpoints
- sgreen152960@directpatientrecord.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 804976 | MS | Yes |
| Family Nurse Practitioner | 363LF0000X | 2066 | NE | |
| Family Nurse Practitioner | 363LF0000X | APN.0992934-NP | CO |
Addresses
Primary practice location
1911 Read Rd
Picayune, MS 39466-2730
Mailing address
PO Box 1729
108
Hattiesburg, MS 39403-1729
Phone (601) 545-8700
Other practice location 1
450 Tatone St
Boardman, OR 97818-8076
Phone (541) 481-7212
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07358266 | Medicaid | MS |
Other names
- Stephanie L Pearce
Other providers in Picayune, MS
- Walter Edward Gipson IV
- Ashley Glascoe
- Susan M. Golman
- Marilyn L Gouguet Sr.
- Sheteria Necole Grays
- John Michael Griffin
- Ward G. Griffing
- Heather Dawn Grob
- Growing Smiles of Picayune, PLLC
- Christian Avery Guelker
All providers in Picayune, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.