Individual provider Active NPI

Jennifer Rae Green

  • Family Nurse Practitioner
  • Naples, FL
National Provider Identifier
1932778396
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
00000000000 Issued in FL
Practice address
2338 Immokalee Rd # 186
Naples, FL 34110-1445
Phone
(239) 330-2933
NPI assigned
Jun 21, 2021
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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 00000000000 FL Primary

Addresses

Primary practice location

2338 Immokalee Rd # 186
Naples, FL 34110-1445

Mailing address

2338 Immokalee Rd # 186
Naples, FL 34110-1445
Phone (239) 330-2933

Other practice location 1

425 23rd St NW
Naples, FL 34120-1823
Phone (239) 595-9575

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210804000509 FL Practitioner - Nurse Practitioner 8820492408 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Inpatient Partners LLCGroup PAC ID 3476832528, 40 clinicians
Premier Infectious Disease, LLCGroup PAC ID 8022583483, 7 clinicians

Practice addresses (Care Compare)

350 7TH St N
Naples, FL 34102-5754
Phone (239) 624-5000

661 Goodlette-Frank Rd N
Suite 103
Naples, FL 34102-5609
Phone (239) 537-5909

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.52 of 100Reported as group
Quality
52.2
Improvement activities
40
Cost
80.57

Merit-based Incentive Payment System (MIPS)

Final score
85.67 of 100Reported as group
Quality
90
Improvement activities
40
Cost
48.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00000000000FLMDPh.D. Medical Genetics

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Outpatient Providers, LLC CurrentSince Jul 15, 2024 Accepting new patients
Premier Inpatient Partners LLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

2338 Immokalee Rd
Naples, FL 34110
Phone (239) 330-2933

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

6135 Rattlesnake Hammock Rd
#R
Naples, FL 34113
Phone (239) 775-7715

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14267/brand/6/csg/1/fhir/r4

Organizations & group practices 3

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": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1932778396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2338 IMMOKALEE RD # 186",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101445",
            "telephone_number": "239-330-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2338 IMMOKALEE RD # 186",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101445",
            "telephone_number": "239-330-2933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 23rd St NW",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341201823",
            "country_code": "US",
            "telephone_number": "239-595-9575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JENNIFER",
        "middle_name": "RAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "00000000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.