Individual provider Active NPI

Suzanne Marie Green

  • Case Management Registered Nurse
  • Papillion, NE
National Provider Identifier
1730988023
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
78941 Issued in NE
Practice address
12655 Cooper St
Papillion, NE 68138-4423
Phone
(531) 222-6595
NPI assigned
Mar 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 78941 NE Primary

Addresses

Primary practice location

12655 Cooper St
Papillion, NE 68138-4423

Mailing address

12655 Cooper St
Papillion, NE 68138-4423
Phone (531) 222-6595

Other practice location 1

12875 Deauville Dr
Omaha, NE 68137-3242
Phone (402) 399-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
78941NEMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Evangelical Lutheran Good Samaritan Society Past Accepting new patients
The Evangelical Lutheran Good Samaritan Society Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1730988023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12655 COOPER ST",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "681384423",
            "telephone_number": "531-222-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12655 COOPER ST",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "681384423",
            "telephone_number": "531-222-6595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12875 Deauville Dr",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681373242",
            "country_code": "US",
            "telephone_number": "402-399-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "SUZANNE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NE",
            "license": "78941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.