Individual provider Active NPI

Stephanie Jill Greene, APRN-BC

  • Family Nurse Practitioner
  • Wilmington, OH
National Provider Identifier
1629383963
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0036376 Issued in OH
Practice address
65 Woods Edge CT
Wilmington, OH 45177-7507
Phone
(937) 366-6699
NPI assigned
Aug 11, 2010
Last updated
Jul 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.320357 OH
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APRN.CNP.0036376 OH Primary

Addresses

Primary practice location

65 Woods Edge CT
Wilmington, OH 45177-7507

Mailing address

57 Chestnut St
Dayton, OH 45440-1384
Phone (937) 306-6012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250312000327 OH Practitioner - Nurse Practitioner 8123549706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Venvisor Health Ohio LLCGroup PAC ID 1456780824, 12 clinicians

Practice addresses (Care Compare)

545 Metro PL S
Suite 100
Dublin, OH 43017-5353
Phone (708) 269-1017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.320357OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Venvisor Health Ohio LLC Single Specialty CurrentSince Feb 1, 2025 Accepting new patients

Locations

545 Metro Pl S
Ste 100
Dublin, OH 43017
Phone (614) 398-0558

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1629383963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 CHESTNUT ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454401384",
            "telephone_number": "937-306-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 WOODS EDGE CT",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451777507",
            "telephone_number": "937-366-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "STEPHANIE",
        "middle_name": "JILL",
        "name_prefix": "Mrs.",
        "credential": "APRN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-11",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.320357",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0036376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, OH

Sources for this page

Verify at the official NPI Registry.