Individual provider Active NPI

Sierra N Green, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Munster, IN
National Provider Identifier
1598413304
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71012595A Issued in IN
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

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220608001601 IN Practitioner - Nurse Practitioner 7113305871 Reassigns benefits to 1 organization
I20260319003671 IL Practitioner - Nurse Practitioner 7113305871 Reassigns benefits to 1 organization

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
219 Health Network IncGroup PAC ID 0547521452, 70 clinicians

Practice addresses (Care Compare)

100 W Chicago Ave
Suite F
East Chicago, IN 46312-3261
Phone (219) 392-7016

Hospital & facility affiliations

  • Community Hospital Hospital, Munster, IN, CCN 150125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71012595AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
219 Health Network Inc CurrentSince May 26, 2022 Accepting new patients
Blysss Behavioral Health, PLLC Psychiatric/Mental Health CurrentSince Jan 12, 2026 Accepting new patients
219 Health Network, Inc. CurrentSince May 26, 2022 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.