Stephanie L Green, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

804976 Issued in MS

Practice address

1911 Read Rd
Picayune, MS 39466-2730

Phone

(601) 251-3500

NPI assigned

Mar 30, 2006

Last updated

Jun 10, 2026By 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 3

Addresses

Other names 1

• Stephanie L Pearce Other name

Medicare fee-for-service enrollment

Enrolled in MS

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, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Mountain Hospital DistrictGroup PAC ID 5193719219, shared by 2 NPIs, 29 clinicians

Southeast Mississippi Rural Health Initiative, Inc.Group PAC ID 2466342605, shared by 58 NPIs, 38 clinicians

Columbia River HealthGroup PAC ID 8527026087, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Blue Mountain Hospital Hospital, John Day, OR, CCN 381305
• Good Shepherd Medical Center Hospital, Hermiston, OR, CCN 381325

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sgreen152960@directpatientrecord.com

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.

• Abode Care Partners Al VB, LLC

  • Nurse Practitioner
  • Ridgeland, MS
  • NPI 1841003456
  Medicare reassignment NPD
• Abode Care Partners LTC VB, LLC

  • Nurse Practitioner
  • Ridgeland, MS
  • NPI 1992518591
  Medicare reassignment NPD
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Ripley, MS
  • NPI 1447769559

  Nurse Practitioner

  Medicare reassignment NPD
• Forrest County General Hospital

  • Psychiatric Hospital Unit
  • Hattiesburg, MS
  • NPI 1295837631
  Medicare reassignment NPD
• Icp Mississippi Aco Billing, LLC

  • Clinical Nurse Specialist
  • Flowood, MS
  • NPI 1992389167
  Medicare reassignment NPD
• SHC Medical Partners of Mississippi, LLC

  • Nurse Practitioner
  • Ridgeland, MS
  • NPI 1720837396
  Medicare reassignment NPD
• Sumrall Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Sumrall, MS
  • NPI 1184694036
  Medicare reassignment NPD
• Integrated Care Professionals of Mississippi, LLC

  • Clinical Nurse Specialist
  • Ridgeland, MS
  • NPI 1861818726
  Medicare reassignment
• Columbia River Health

  • Federally Qualified Health Center (FQHC)
  • Boardman, OR
  • NPI 1710084140
  Care Compare group
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Kosciusko, MS
  • NPI 1851050579
  NPD
• Forrest County General Hospital

  dba Highland Center for Women's Health RHC

  • Rural Health Clinic/Center
  • Picayune, MS
  • NPI 1043820426
  NPD
• Forrest General Hospital

  • Internal Medicine Physician
  • Hattiesburg, MS
  • NPI 1053512087
  NPD

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

• Blue Mountain Hospital District

  • Critical Access Hospital
  • John Day, OR
  • NPI 1356414395
  Care Compare affiliation
• Good Shepherd Health Care System

  dba Good Shepherd Medical Center

  • Critical Access Hospital
  • Hermiston, OR
  • NPI 1295789667
  Care Compare affiliation

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1376504357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1729",
            "address_2": "108",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394031729",
            "telephone_number": "601-545-8700",
            "fax_number": "601-255-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 READ RD",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394662730",
            "telephone_number": "601-251-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Tatone St",
            "address_purpose": "LOCATION",
            "city": "Boardman",
            "state": "OR",
            "postal_code": "978188076",
            "country_code": "US",
            "telephone_number": "541-481-7212",
            "fax_number": "541-481-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "804976",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "2066",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0992934-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "PEARCE",
            "middle_name": "L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Walter Edward Gipson IV, MD
• Ashley Glascoe, CPSS
• Susan M. Golman, LMT, MMP
• Marilyn L Gouguet Sr., LCSW
• Sheteria Necole Grays, CPHT
• John Michael Griffin, RPH
• Ward G. Griffing, D.D.S.
• Heather Dawn Grob, BSN, RN
• Growing Smiles of Picayune, PLLC
• Christian Avery Guelker, DPT

• Family Nurse Practitioner in Picayune, MS
• Providers in Picayune, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.