Individual provider Active NPI

Joanna Ruppel Green, CRNP

  • Family Nurse Practitioner
  • Eufaula, AL
National Provider Identifier
1902580731
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-147130 Issued in AL
Practice address
820 W Washington St
Eufaula, AL 36027-1899
Phone
(334) 688-7276
NPI assigned
Jun 12, 2023
Last updated
Jun 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-147130 AL Primary

Addresses

Primary practice location

820 W Washington St
Eufaula, AL 36027-1899

Mailing address

420 Perrys Well Rd
Pittsview, AL 36871-2671
Phone (334) 714-7142

Other identifiers 1

IdentifierTypeStateIssuer
373025MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20240329000439 AL Practitioner - Nurse Practitioner 9436597259 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southland 806 Hospitalist PLLCGroup PAC ID 3779932611, 4 clinicians
The Health Care Authority of the City of EufaulaGroup PAC ID 9335407659, shared by 5 NPIs, 19 clinicians

Practice addresses (Care Compare)

820 W Washington St
Eufaula, AL 36027-1822
Phone (334) 688-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-147130ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southland 806 Hospitalist PLLC Single Specialty CurrentSince Jan 16, 2024 Accepting new patients
The Health Care Authority of the City of Eufaula CurrentSince Sep 22, 2025 Accepting new patients
The Health Care Authority of the City of Eufaula Single Specialty CurrentSince Sep 22, 2025 Accepting new patients
The Health Care Authority of the City of Eufaula Single Specialty Current Accepting new patients
The Health Care Authority of the City of Eufaula CurrentSince Sep 22, 2025 Accepting new patients

Locations

820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761

Interoperability endpoints

  • Direct secure messaging: joannna.green.1@11619.direct.athenahealth.com

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

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": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1902580731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 PERRYS WELL RD",
            "city": "PITTSVIEW",
            "state": "AL",
            "postal_code": "368712671",
            "telephone_number": "334-714-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W WASHINGTON ST",
            "city": "EUFAULA",
            "state": "AL",
            "postal_code": "360271899",
            "telephone_number": "334-688-7276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JOANNA",
        "middle_name": "RUPPEL",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-147130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373025",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eufaula, AL

Sources for this page

Verify at the official NPI Registry.