Barbara R. Green

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

11006904 Issued in FL

Practice address

7451 103Rd St Ste 8
Jacksonville, FL 32210-9300

Phone

(904) 683-4968

Fax

(904) 902-1202

NPI assigned

May 1, 2020

Last updated

Feb 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Concierge Home Care Home health agency, Orange Park, FL, CCN 109771
• HCA Florida Orange Park Hospital Hospital, Orange Park, FL, CCN 100226

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: barbara.green.1@4290.direct.athenahealth.com

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.

• Millennium Physician Group LLC

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1811122880
  Medicare reassignment Care Compare group NPD
• Millennium Physician Group LLC

  • Family Medicine Physician
  • Brooksville, FL
  • NPI 1073131702
  NPD
• Patrick Bunyi MD LLC

  • Clinic/Center
  • Jacksonville, FL
  • NPI 1598081945
  NPD
• Cristina Luciano M D P a

  • General Practice Physician
  • Penney Farms, FL
  • NPI 1801073713
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Orange Park Medical Center, Inc.

  dba HCA Florida Orange Park Hospital

  • General Acute Care Hospital
  • Orange Park, FL
  • NPI 1689611501
  Care Compare affiliation
• The Roses' Home Healthcare, LLC

  dba Concierge Home Care

  • Home Health Agency
  • Orange Park, FL
  • NPI 1629262449
  Care Compare affiliation

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1790306637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7451 103RD ST STE 8",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322109300",
            "telephone_number": "904-683-4968",
            "fax_number": "904-902-1202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7307 N Main St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322084123",
            "country_code": "US",
            "telephone_number": "904-374-3311",
            "fax_number": "904-648-8086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "BARBARA",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-01",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11006904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "OV684",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crista Michelle Green-Propes, ARNP
• Aailyah Green
• Andrew David Green, ARNP
• Anthony Darius Green, PTA
• Ashley Green
• Blake Green
• Brittney Keanna Green, HEAVEN SENT HOME
• Chantall-Imani Britany Green
• Christopher Green, LAT ATC
• Deangelo Green

• Gerontology Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.

Verify at the official NPI Registry.