Jennifer Green, AGACNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1036810 Issued in TX

Practice address

1799 County Road 2219
Caddo Mills, TX 75135-8378

Phone

(214) 808-0389

NPI assigned

Feb 7, 2022

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

Medicare fee-for-service enrollment

Enrolled in TX

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

Merit-based Incentive Payment System (MIPS)

Final score

85.6 of 100Reported as group

Quality

68.07

Promoting interoperability

99

Improvement activities

40

Cost

74.03

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.green@hca7.eclinicaldirectplus.com

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.

• Cardiocentric

  • Cardiovascular Disease Physician
  • Richardson, TX
  • NPI 1295354611
  Medicare reassignment NPD
• North Texas Heart Surgery Center, PLLC

  • Surgery Physician
  • Dallas, TX
  • NPI 1457651606
  Medicare reassignment NPD
• Heart Institute of Texas PLLC

  • Interventional Cardiology Physician
  • Plano, TX
  • NPI 1972496966
  Medicare reassignment
• Elite Orthopaedics of Irving PLLC

  • Orthopaedic Surgery Physician
  • Irving, TX
  • NPI 1982892105
  NPD (past)

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1851045058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 COUNTY ROAD 2219",
            "city": "CADDO MILLS",
            "state": "TX",
            "postal_code": "751358378",
            "telephone_number": "214-808-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 COUNTY ROAD 2219",
            "city": "CADDO MILLS",
            "state": "TX",
            "postal_code": "751358378",
            "telephone_number": "214-808-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JENNIFER",
        "credential": "AGACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1036810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caddo Mills Isd
• Stacey S Dennard, SLP
• Mitra Salighedar Doty, DO
• Melissa Duncan, M.S., CCC/SLP
• Michele D Grabowski, R.N.
• Aloni Nicole Gutierrez
• Ryan Daniel Harris
• Harry RX LLC
• Healing Ground Counseling Services LLC
• Hearted Rejuvenation LLC

• Nurse Practitioner in Caddo Mills, TX
• Providers in Caddo Mills, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.