Active NPI
Sierra N Green, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Munster, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 71012595A
- Practice address
- 1950 45TH St Ste 100
Munster, IN 46321-3958 - Phone
- (219) 392-7025
- Fax
- (219) 392-7026
- NPI assigned
- Mar 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 71012595A | IN | Primary |
Addresses
Primary practice location
1950 45TH St Ste 100
Munster, IN 46321-3958
Mailing address
8558 Broadway
Merrillville, IN 46410-7032
Phone (193) 927-0842
Other practice location 1
9415 S Western Ave Ste 206
Chicago, IL 60643-6700
Phone (844) 425-9777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 W Chicago Ave
Suite F
East Chicago, IN 46312-3261
Phone (219) 392-7016
Hospital & facility affiliations
- Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71012595A | IN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 219 Health Network Inc | Current | Accepting new patients | |
| Blysss Behavioral Health, PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| 219 Health Network, Inc. | Current | Accepting new patients | |
| 219 Health Network, Inc. | Psychiatric/Mental Health | Past | Accepting new patients |
Locations
9415 S Western Ave
Ste 206
Chicago, IL 60643
Phone (844) 425-9777
100 W Chicago Ave
Ste F
East Chicago, IN 46312
Phone (219) 392-7016
8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084
1950 45th St
Ste 100
Munster, IN 46321
Phone (219) 703-2485
800 MacArthur Blvd
Ste 5
Munster, IN 46321
Phone (219) 392-7025
Interoperability endpoints
- sgreen44145@ssdirect.comhs.org
Organizations & group practices 4
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Chicago, IL
- NPI 1932945243
IL, Psychiatric/Mental Health
-
- Federally Qualified Health Center (FQHC)
- Munster, IN
- NPI 1417811738
-
- Federally Qualified Health Center (FQHC)
- Munster, IN
- NPI 1871257212
Psychiatric/Mental Health
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775174400000",
"number": "1598413304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8558 BROADWAY",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464107032",
"telephone_number": "193-927-0842",
"fax_number": "219-703-6854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 45TH ST STE 100",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463213958",
"telephone_number": "219-392-7025",
"fax_number": "219-392-7026"
}
],
"practiceLocations": [
{
"address_1": "9415 S Western Ave Ste 206",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606436700",
"country_code": "US",
"telephone_number": "844-425-9777",
"fax_number": "844-715-1618",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREEN",
"first_name": "SIERRA",
"middle_name": "N",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-11",
"last_updated": "2026-04-03",
"certification_date": "2026-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IN",
"license": "71012595A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.