Kelley Mai Greene, ACNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5013672 Issued in NC

Practice address

5 Vanderbilt Park Dr
Asheville, NC 28803-1700

Phone

(828) 274-6000

NPI assigned

Jan 28, 2014

Last updated

Jan 6, 2021By 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 2

Addresses

Other names 1

• Ms. Kelley Mai Young Former name

Medicare fee-for-service enrollment

Enrolled in NC

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mission Health Community Multispecialty Providers LLCGroup PAC ID 9537468574, 601 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Mission Hospital and Asheville Surgery Ce Hospital, Asheville, NC, CCN 340002

Merit-based Incentive Payment System (MIPS)

Final score

90.39 of 100Reported as apm

Quality

77.7

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mission Health Community Multispecialty Providers, LLC

  • Anesthesiology Physician
  • Asheville, NC
  • NPI 1457719130
  Medicare reassignment Care Compare group NPD
• Mission Community Anesthesiology Specialists LLC

  • Orthopaedic Surgery Physician
  • Asheville, NC
  • NPI 1467922682
  NPD
• Mission Community Anesthesiology Specialists LLC

  • Certified Respiratory Therapist
  • Asheville, NC
  • NPI 1528538766
  NPD
• Mission Community Anesthesiology Specialists LLC

  • Clinical Social Worker
  • Asheville, NC
  • NPI 1235609538
  NPD (past)
• Adolfo Kaplan, M.D., PA

  • Pulmonary Disease Physician
  • Weslaco, TX
  • NPI 1952318081
  NPD (past)

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

• MH Mission Hospital, LLLP

  dba Mission Hospital

  • General Acute Care Hospital
  • Asheville, NC
  • NPI 1962987677
  Care Compare affiliation

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1386067338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 VANDERBILT PARK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288031700",
            "telephone_number": "828-274-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 VANDERBILT PARK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288031700",
            "telephone_number": "828-274-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7000 Atrium Way",
            "address_2": "Suite 6",
            "address_purpose": "LOCATION",
            "city": "Mount Laurel",
            "state": "NJ",
            "postal_code": "080543917",
            "country_code": "US",
            "telephone_number": "856-291-6818",
            "fax_number": "856-291-6819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "KELLEY",
        "middle_name": "MAI",
        "name_prefix": "Mrs.",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-28",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP128903",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5013672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLEY",
            "last_name": "YOUNG",
            "middle_name": "MAI",
            "prefix": "MS.",
            "credential": "ACNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carol Peyton Greenberger, CAROL GREENBERGER
• Ami Irish Greene, LCSWA
• Anne Elizabeth Greene, LCSW
• Elspeth Greene
• Jessica Elizabeth Greene, CD(DONA), LCCE
• Matthew Hutchins Greene, M.D.
• Michael Dale Greene, LCSW
• Ritchie William Greene, MSW
• Greenfield Inc (Edward Cortright LMBT)
• Greenhands P.a. (GreenHands Healing Center)

• Nurse Practitioner in Asheville, NC
• Providers in Asheville, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.