Active NPI
Jaime M Green, APRN/CNP
- Primary Care Nurse Practitioner
- Woodland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- NP20468
- Practice address
- 632 W Gibson Rd
Woodland, CA 95695-5169 - Phone
- (530) 668-2605
- NPI assigned
- May 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | NP20468 | CA | Primary |
Addresses
Primary practice location
632 W Gibson Rd
Woodland, CA 95695-5169
Mailing address
632 W Gibson Rd
Woodland, CA 95695-5169
Phone (530) 668-2605
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 552312 | Other | CA | RN LICENSE |
| 20468 | Other | CA | FURNISHING LICENSE |
| NP20468 | Other | CA | NURSE PRACTITIONER |
Other names 1
- Mrs. Jaime M Green
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3000 Q St
FL 2
Sacramento, CA 95816-7058
Phone (916) 560-0319
Hospital & facility affiliations
- American River Home Care
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP20468 | CA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Community Care | Past | Accepting new patients | |
| Dignity Health Medical Foundation | Past | Accepting new patients | |
| Quality Health Unlimited,P.C. | Primary Care | Past | Accepting new patients |
Locations
7115 Greenback Ln
Fl 2
Citrus Heights, CA 95621
Phone (916) 536-3620
3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726
3000 Q St
Fl 2
Sacramento, CA 95816
Phone (916) 733-3323
632 W Gibson Rd
Woodland, CA 95695
Phone (530) 666-1631
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1700803418
-
- Multi-Specialty Clinic/Center
- Redding, CA
- NPI 1912288432
-
- Home Health Agency
- Woodland, CA
- NPI 1851494231
-
- Multi-Specialty Clinic/Center
- Rancho Cordova, CA
- NPI 1568489268
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Sacramento, CA
- NPI 1811317811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330992000000",
"number": "1861448102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "632 W GIBSON RD",
"city": "WOODLAND",
"state": "CA",
"postal_code": "956955169",
"telephone_number": "530-668-2605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "632 W GIBSON RD",
"city": "WOODLAND",
"state": "CA",
"postal_code": "956955169",
"telephone_number": "530-668-2605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "JAIME",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "APRN/CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2012-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "NP20468",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "552312",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FURNISHING LICENSE",
"identifier": "20468",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER",
"identifier": "NP20468",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JAIME",
"last_name": "GREEN",
"middle_name": "M",
"prefix": "MRS.",
"credential": "APRN/CNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Woodland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.