Individual provider Active NPI

Stephanie Green, NP

  • Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1780059493
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.18473 Issued in OH
Practice address
3825 Edwards Rd Ste 300
Cincinnati, OH 45209-1288
Phone
(513) 221-1100
Fax
(513) 684-4501
NPI assigned
Dec 7, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.3011311 KY
Nurse Practitioner 363L00000X APRN.CNP.18473 OH Primary

Addresses

Primary practice location

3825 Edwards Rd Ste 300
Cincinnati, OH 45209-1288

Mailing address

PO Box 643398
Cincinnati, OH 45264-3398
Phone (513) 221-1100

Other practice location 1

544 Centre View Blvd
Crestview Hills, KY 41017-3400
Phone (513) 221-1100

Other identifiers 1

IdentifierTypeStateIssuer
0161897MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160512002341 OH Practitioner - Nurse Practitioner 0547559676 Reassigns benefits to 1 organization
I20170825003123 KY Practitioner - Nurse Practitioner 0547559676 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mayfield Clinic IncGroup PAC ID 9133013006, 74 clinicians

Practice addresses (Care Compare)

3825 Edwards Rd
Suite 300
Cincinnati, OH 45209-1288
Phone (513) 221-1100

544 Centre View Blvd
Crestview Hills, KY 41017-3400
Phone (513) 221-1100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.3011311KYMDNurse Practitioner
APRN.CNP.18473OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mayfield Clinic Inc CurrentSince Jul 15, 2025 Accepting new patients
Mayfield Clinic Inc Nurse Practitioner CurrentSince Jul 15, 2025 Accepting new patients
Trihealth Physician Institute Nurse Practitioner Past Accepting new patients

Locations

1500 James Simpson Jr Way
Covington, KY 41011
Phone (859) 655-4353

544 Centre View Blvd
Crestview Hills, KY 41017

1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000

4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200

238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

3825 Edwards Rd
Ste 300
Cincinnati, OH 45209

6130 Harrison Ave
Cincinnati, OH 45247

7661 Beechmont Ave
Ste 240
Cincinnati, OH 45255

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

55 Pinnacle Point Dr
Miamisburg, OH 45342
Phone (937) 886-5777

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

9075 Centre Pointe Dr
Ste 200
West Chester, OH 45069

Interoperability endpoints

  • Direct secure messaging: stephanie.green@mayfield.eclinicaldirectplus.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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1780059493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643398",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452643398",
            "telephone_number": "513-221-1100",
            "fax_number": "513-684-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 EDWARDS RD STE 300",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091288",
            "telephone_number": "513-221-1100",
            "fax_number": "513-684-4501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "544 Centre View Blvd",
            "address_purpose": "LOCATION",
            "city": "Crestview Hills",
            "state": "KY",
            "postal_code": "410173400",
            "country_code": "US",
            "telephone_number": "513-221-1100",
            "fax_number": "859-341-3913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "STEPHANIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-07",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "APRN.CNP.3011311",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.18473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0161897",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.