Individual provider Active NPI

Lori Shea Jean Green, N.P.

  • Family Nurse Practitioner
  • Corydon, IN
National Provider Identifier
1740225820
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71000547A Issued in IN
Practice address
313 Federal Dr NW Ste 130
Corydon, IN 47112-3099
Phone
(812) 734-3952
NPI assigned
Jun 20, 2006
Last updated
Dec 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3005070 KY
Family Nurse Practitioner 363LF0000X 71000547A IN Primary

Addresses

Primary practice location

313 Federal Dr NW Ste 130
Corydon, IN 47112-3099

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7906

Other practice location 1

1806 E 10th St
Jeffersonville, IN 47130-6016
Phone (812) 285-5926

Other identifiers 3

IdentifierTypeStateIssuer
7100151870MedicaidKY
1017630001OtherINDMERC
271288OtherINANTHEM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lgreen19525@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20131109000559 IN Practitioner - Nurse Practitioner 0345420584 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1373 E State Rd
Madison, IN 47250-7328
Phone (812) 801-0810

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3005070KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Clark Physician Practices, LLC Family Medicine CurrentSince Aug 1, 2015 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Mar 1, 2018 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Mar 1, 2018 Accepting new patients

Locations

11500 Highway 62
Charlestown, IN 47111
Phone (812) 256-0700

313 Federal Dr NW
Ste 130
Corydon, IN 47112
Phone (812) 225-5133

313 Federal Dr NW
Ste 200
Corydon, IN 47112
Phone (812) 738-4155

1220 Missouri Ave
Jeffersonvlle, IN 47130
Phone (812) 282-2072

1806 E 10th St
Jeffersonvlle, IN 47130
Phone (812) 285-5923

207 Sparks Ave
Ste 200
Jeffersonvlle, IN 47130
Phone (812) 283-4441

207 Sparks Ave
Ste 300
Jeffersonvlle, IN 47130
Phone (812) 218-7978

207 Sparks Ave
Ste 301
Jeffersonvlle, IN 47130
Phone (812) 280-5894

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

13117 Eastpoint Park Blvd
Ste C
Louisville, KY 40223
Phone (502) 254-0907

3900 Kresge Way
Ste 56
Louisville, KY 40207
Phone (502) 895-7265

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: lgreen19525@bhkydirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1740225820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7906",
            "fax_number": "615-920-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 FEDERAL DR NW STE 130",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471123099",
            "telephone_number": "812-734-3952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1806 E 10th St",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471306016",
            "country_code": "US",
            "telephone_number": "812-285-5926",
            "fax_number": "812-285-5927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LORI SHEA",
        "middle_name": "JEAN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "3005070",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71000547A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100151870",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "1017630001",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "271288",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lgreen19525@bhkydirect.com",
            "affiliation": "N",
            "address_1": "313 Federal Dr NW Ste 130",
            "city": "Corydon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471123099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corydon, IN

Sources for this page

Verify at the official NPI Registry.