NPIMap

Individual provider Active NPI

Nicholas Green

  • Family Nurse Practitioner
  • Rio Grande City, TX
National Provider Identifier
1467087288
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP145426 Issued in TX
Practice address
214 Chaparral Blvd
Rio Grande City, TX 78582-4605
Phone
(956) 317-1339
Fax
(956) 317-1360
NPI assigned
Mar 12, 2020
Last updated
Apr 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP145426 TX Primary

Addresses

Primary practice location

214 Chaparral Blvd
Rio Grande City, TX 78582-4605

Mailing address

2005 Robin LN
Mission, TX 78572-0053
Phone (956) 467-7426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220722000375 TX Practitioner - Nurse Practitioner 8022499029 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor County Hospital DistrictGroup PAC ID 6103739222, 25 clinicians
Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians

Practice addresses (Care Compare)

200 Stadium Dr
Seymour, TX 76380-2344
Phone (940) 889-5572

400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone (940) 325-7891

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP145426TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
General Hospital Current Accepting new patients
General Hospital CurrentSince May 1, 2025 Accepting new patients
Baylor County Hospital District CurrentSince Sep 1, 2025 Accepting new patients
Baylor County Hospital District CurrentSince Sep 1, 2025 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Nov 17, 2024 Accepting new patients
General Hospital CurrentSince May 1, 2025 Accepting new patients
Travis County Emergency Physicians PA CurrentSince Jul 1, 2022 Accepting new patients
General Hospital Past Accepting new patients

Locations

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

200 Stadium Dr
Seymour, TX 76380
Phone (940) 888-5572

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1467087288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 ROBIN LN",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785720053",
            "telephone_number": "956-467-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 CHAPARRAL BLVD",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785824605",
            "telephone_number": "956-317-1339",
            "fax_number": "956-317-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "NICHOLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande City, TX

Sources for this page

Verify at the official NPI Registry.