Green NP in Adult Health PLLC
Organization Active NPI Nurse Practitioner · Poughkeepsie, NY
NPI 1457083388 · NPPES record last updated Apr 18, 2025
Key facts
- NPI
- 1457083388
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nurse Practitioner 363L00000X
- Legal business name
- GREEN NP IN ADULT HEALTH PLLC
- Practice address
- 1 Bushwick Rd Ste C
Poughkeepsie, NY 12603-3839 - Phone
- (845) 579-3435
- Fax
- (845) 243-2100
- NPI assigned
- Jun 29, 2022
- Organization subpart
- No
Authorized official
- Name
- Patricia Monge O'Connell, NP
- Title
- Owner
- Phone
- (845) 579-3435
Practitioners 9
-
Trissa Jayne Adams, PMHNP
-
Michelle Camastro, FNP
-
Dina Allen Marquez, LCSW
-
Mary Eileen Paquet, FNP
-
Kathleen A Steiger, DNP ACNP-BC
-
Kristen Tuttle, LCSWR
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2309767 | Green NP in Adult Health, PLLC | Certificate of waiver | Aug 20, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220722001241 | NY | Part B Supplier - Clinic/Group Practice | 4385025295 |
Receives reassigned benefits from 8 practitioners Practice locations: Highland, NY; Poughkeepsie, NY |
National Provider Directory
Locations
1 Bushwick Rd
Ste C
Poughkeepsie, NY 12603
Phone (845) 579-3435
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner |
363L00000X | Yes | ||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X |
Addresses
Primary practice location
1 Bushwick Rd Ste C
Poughkeepsie, NY 12603-3839
Mailing address
1 Bushwick Rd Ste C
Poughkeepsie, NY 12603-3839
Phone (845) 579-3435
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07468940 | Medicaid | NY |
Other providers in Poughkeepsie, NY
- Tara Graubard I
- Desiree Gravagna
- Cierra Gray
- Maureen Gray
- Samaria Gray
- Christina Green
- Kajsia M Green
- Kameko Green
- Marilyn Green
- Reuben Green
All providers in Poughkeepsie, NY · Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2025. 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.
- 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.