TRICIALYN GREEN – Psychiatric/Mental Health Nurse Practitioner, NPI 1336944750

TRICIALYN GREEN is a healthcare provider. based in Harvest, Alabama. specializing in NURSE PRACTITIONER. They hold a License No. 1-127637 (AL). The NPI Number for TRICIALYN GREEN is 1336944750

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
TRICIALYN GREEN
NPI
1336944750
Phone
(256) 665-4172
Address
15731 COACH HOUSE CT NW
Enumeration Date
18 February 2025
Last Update Date
18 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2563251349
Graduation Year
2024 (2 years ago)
PAC ID
7012432834
Group Practice PAC ID
0042214868
Professional Enrollment ID
I20250415000546
Address ID
AL357582566MA708XXWAYX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for TRICIALYN GREEN

  • 15731 COACH HOUSE CT NW

    HARVEST, AL 357497861

    Phone: (256) 665-4172

    Type: Mailing

  • 708 WILL HALSEY WAY

    MADISON, AL 357582565

    Phone: (256) 325-1349

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250415000546INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35749)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042214868View full group profile
NameSpecialtyState
Mental Health CounselorOH
Mental Health CounselorAL
Nurse PractitionerAL
Nurse PractitionerAL
Mental Health CounselorAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerTN
Nurse PractitionerAL
Psychiatry, Addiction MedicineAL

Reviews

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Frequently asked questions

Can I use this page to confirm TRICIALYN GREEN's NPI?
Yes. TRICIALYN GREEN is listed with NPI 1336944750 in the public NPI dataset.
Can I rely on TRICIALYN GREEN being an active provider?
As of the registry snapshot, TRICIALYN GREEN is marked active.
What taxonomy line describes TRICIALYN GREEN?
For research purposes, treat TRICIALYN GREEN as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is TRICIALYN GREEN based?
TRICIALYN GREEN is tied to Harvest, Alabama in the data we show; additional addresses may exist on the full record.
Why does TRICIALYN GREEN have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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