Individual provider Active NPI

Noelle Green, NP

  • Nurse Practitioner
  • Hampton, VA
National Provider Identifier
1649766569
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024175905 Issued in VI
Practice address
1919 Commerce Dr Ste 465
Hampton, VA 23666-4269
Phone
(757) 712-4767
Fax
(844) 593-7433
NPI assigned
Jul 3, 2018
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024175905 VI Primary

Addresses

Primary practice location

1919 Commerce Dr Ste 465
Hampton, VA 23666-4269

Mailing address

110 Coliseum Xing # 5462
Hampton, VA 23666-5971
Phone (757) 712-4767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20181127003294 VA Practitioner - Nurse Practitioner 3678817913 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024175905VIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BHG Xlii, LLC Single Specialty CurrentSince Feb 5, 2021 Accepting new patients
BHG Lix, LLC CurrentSince Dec 5, 2025 Accepting new patients
BHG Lix, LLC CurrentSince Dec 5, 2025 Accepting new patients
Suffolk Psychotherapy, Inc. Single Specialty CurrentSince Dec 1, 2021 Accepting new patients
NSG Wellness LLC Single Specialty CurrentSince Sep 16, 2024 Accepting new patients
BHG Xlii, LLC CurrentSince Feb 5, 2021 Accepting new patients
Sentara Medical Group Single Specialty Past Accepting new patients

Locations

5001 Spring Valley Rd
Ste 600
Dallas, TX 75244

5001 Spring Vly
Ste 600E
Dallas, TX 75244

109 Wimbledon Sq
Ste A
Chesapeake, VA 23320
Phone (757) 410-8244

110 Coliseum Xing
Hampton, VA 23666
Phone (757) 752-8682

1919 Commerce Dr
Ste 240
Hampton, VA 23666
Phone (757) 291-3339

114 N Main St
Ste 102
Suffolk, VA 23434
Phone (757) 809-5376

425 W Washington St
Ste 4
Suffolk, VA 23434
Phone (757) 209-4607

5715 Princess Anne Rd
Virginia Beach, VA 23462
Phone (757) 962-0748

Organizations & group practices 7

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": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1649766569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 COLISEUM XING # 5462",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665971",
            "telephone_number": "757-712-4767",
            "fax_number": "844-593-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 COMMERCE DR STE 465",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236664269",
            "telephone_number": "757-712-4767",
            "fax_number": "844-593-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "NOELLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-03",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VI",
            "license": "0024175905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.