Individual provider Active NPI

Rebecca Ferrell Green, NP

  • Nurse Practitioner
  • Dublin, VA
National Provider Identifier
1962811554
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
56912 Issued in WV
Practice address
5275 Alexander Rd Ste a
Dublin, VA 24084-3657
Phone
(540) 307-5597
NPI assigned
Aug 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 56912 WV Primary

Addresses

Primary practice location

5275 Alexander Rd Ste a
Dublin, VA 24084-3657

Mailing address

PO Box 297
White Sulphur Springs, WV 24986-0297
Phone (304) 536-5030

Other practice location 1

500 Cherry St
Bluefield, WV 24701-3306
Phone (304) 327-1656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20180322000733 VA Practitioner - Nurse Practitioner 4385864701 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Universal Health CorporationGroup PAC ID 5597912626, 120 clinicians
Provider Partners Care Management LPGroup PAC ID 9335379270, 31 clinicians

Practice addresses (Care Compare)

1111 S Jefferson St
Suite B
Roanoke, VA 24016-4724
Phone (540) 769-3964

700 Randolph St
Radford, VA 24141-2430
Phone (540) 633-6533

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Roanoke, VA, CCN 497429
  • Carilion Home Care Services Home health agency, Radford, VA, CCN 497260

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Health Corporation CurrentSince Apr 1, 2018 Accepting new patients
Alliance Xpress Care LLC Nurse Practitioner CurrentSince Mar 1, 2018 Accepting new patients
Provider Partners Care Management LP Nurse Practitioner CurrentSince Jan 19, 2025 Accepting new patients
Pai Participant 1 LLC Nurse Practitioner CurrentSince Nov 13, 2021 Accepting new patients
Wvva Health Care Alliance, PC PastSince Mar 1, 2018 Accepting new patients

Locations

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

919 S Craig Ave
Ste A
Covington, VA 24426
Phone (540) 960-2231

5275 Alexander Rd
Ste A
Dublin, VA 24084
Phone (540) 307-5597

1475 Virginia Ave
Harrisonburg, VA 22802
Phone (540) 564-3400

700 Randolph St
Radford, VA 24141
Phone (540) 633-3708

1111 S Jefferson St
Ste B
Roanoke, VA 24016
Phone (540) 342-1007

1945 Roanoke Blvd
Salem, VA 24153
Phone (540) 345-3094

46531 Leesburg Pike
Sterling, VA 20164
Phone (703) 834-5800

1100 9th St
Ste E
Vienna, WV 26105

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.

Hospital & facility affiliations 2

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": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1962811554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 297",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "249860297",
            "telephone_number": "304-536-5030",
            "fax_number": "866-903-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 ALEXANDER RD STE A",
            "city": "DUBLIN",
            "state": "VA",
            "postal_code": "240843657",
            "telephone_number": "540-307-5597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Cherry St",
            "address_purpose": "LOCATION",
            "city": "Bluefield",
            "state": "WV",
            "postal_code": "247013306",
            "country_code": "US",
            "telephone_number": "304-327-1656",
            "fax_number": "304-325-1928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "REBECCA",
        "middle_name": "FERRELL",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "56912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, VA

Sources for this page

Verify at the official NPI Registry.