Active NPI
Stephanie Jill Greene, APRN-BC
- Family Nurse Practitioner
- Wilmington, OH
National Provider Identifier
1629383963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.0036376
- Practice address
- 65 Woods Edge CT
Wilmington, OH 45177-7507 - Phone
- (937) 366-6699
- NPI assigned
- Aug 11, 2010
- Last updated
- Jul 5, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.320357 | OH | |
| Family Nurse Practitioner | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN.320357 | OH | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Venvisor Health Ohio LLC | Single Specialty | Current | 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
- Greater Tomorrow Health, LLC
- Greater Tomorrow Wellness, LLC
- Connie Green, CDCA. QBHS
- Kristen Leigh Greenawalt, BS PHARM
- Greene Memorial Hospital Services, Inc (Clinton County Surgical Assoc LLC)
- Stephanie Lynn Greene
- Sharon A Griffith, CRNA
- Autumn Kayla Griffitts, COTA/L
- Thomas Nelson Gronau, D.D.S
- Taylor S Groneck, PSYD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.