Active NPI
Rachel Nicole Green, APRN
- Nurse Practitioner
- New Albany, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71015932A
- Practice address
- Optum
4101 Technology Ave
New Albany, IN 47150 - Phone
- (812) 941-4500
- NPI assigned
- Apr 3, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28195922A | IN | |
| Nurse Practitioner | 363L00000X | 71015932A | IN | Primary |
Addresses
Primary practice location
Optum
4101 Technology Ave
New Albany, IN 47150
Mailing address
6207 Kamer CT
Charlestown, IN 47111-9078
Phone (217) 493-9373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241211003993 | IN | Practitioner - Nurse Practitioner | 4486180601 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- American Health Network of Indiana LLC
Practice addresses (Care Compare)
4101 Technology Ave
New Albany, IN 47150-8548
Phone (812) 941-4500
Hospital & facility affiliations
- Baptist Health Floyd
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28195922A | IN | MD | Registered Nurse |
| 71015932A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Health Network of Indiana, LLC | Nurse Practitioner | Current | Accepting new patients |
| American Health Network of Indiana LLC | Current | Accepting new patients |
Locations
10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928
7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357
1850 State St
New Albany, IN 47150
Phone (812) 944-7701
4101 Technology Ave
New Albany, IN 47150
Phone (812) 941-4500
Interoperability endpoints
- rgreen211696@direct.optum.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.
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-
- Durable Medical Equipment & Medical Supplies
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- NPI 1013002963
-
- Durable Medical Equipment & Medical Supplies
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- NPI 1407941347
-
- Durable Medical Equipment & Medical Supplies
- Avon, IN
- NPI 1417044454
-
- Durable Medical Equipment & Medical Supplies
- Lafayette, IN
- NPI 1578658423
-
- Durable Medical Equipment & Medical Supplies
- New Albany, IN
- NPI 1619561164
-
- Durable Medical Equipment & Medical Supplies
- Kokomo, IN
- NPI 1669567418
-
- Clinical Medical Laboratory
- Carmel, IN
- NPI 1770621161
-
- Durable Medical Equipment & Medical Supplies
- Greenfield, IN
- NPI 1902991854
Hospital & facility affiliations 1
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": "1712102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1417709403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6207 KAMER CT",
"city": "CHARLESTOWN",
"state": "IN",
"postal_code": "471119078",
"telephone_number": "217-493-9373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "OPTUM",
"address_2": "4101 TECHNOLOGY AVE",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "47150",
"telephone_number": "812-941-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "RACHEL",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-03",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28195922A",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71015932A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Albany, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.