TAMMY S GREEN (ANP) – Family Nurse Practitioner, NPI 1639513609

TAMMY S GREEN (ANP) is a healthcare provider. based in Warren, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials ANP. They hold a License No. A003870 (AR). The NPI Number for TAMMY S GREEN (ANP) is 1639513609

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
TAMMY S GREEN (ANP)
NPI
1639513609
Phone
(870) 850-8055
Address
1012 E CHURCH ST
Enumeration Date
22 April 2013
Last Update Date
24 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8706285110
Graduation Year
2012 (14 years ago)
PAC ID
4486874682
Group Practice PAC ID
5193785590
Professional Enrollment ID
I20141010001851

Contacts

Secure Messaging
tammy.green@mhsi.eclinicaldirectplus.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

3,410 NURSE PRACTITIONER in AR

Provider Addresses for TAMMY S GREEN (ANP)

  • 1012 E CHURCH ST

    WARREN, AR 716713509

    Phone: (870) 850-8055

    Fax: (870) 850-8056

    Type: Mailing

  • 505 SYCAMORE ST

    RISON, AR 716657166

    Phone: (870) 325-6255

    Fax: (870) 325-6117

    Type: Location

  • PO BOX 509

    DERMOTT, AR 716380509

    Phone: (870) 538-5414

    Fax: (870) 538-5412

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $106.

Total Amount is formed as General ($106) + Research ($0) + Ownership ($0) = $106.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: ABBVIE INC. ($30).

Total Amount

$106

General + Research + Ownership

Payments

6

Total payment records

General Amount

$106

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2014-10-10

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
I20141010001851INurse PractitionerARTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
81003Automated urinalysis test3426$0
82947Blood glucose (sugar) level2414$0
83036Hemoglobin a1c level2313$0
71046X-ray of chest, 2 views1611$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza1615$0
View full utilization report →

Insurance plans in this area (ZIP 71671)

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Provider's Procedures

TAMMY S GREEN (ANP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERAR20610Aspiration and/or injection of large joint or joint capsule1111
NURSE PRACTITIONERAR83036Hemoglobin A1C level2119

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: 5193785590View full group profile

Reviews

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Frequently asked questions

Can I cross-check TAMMY S GREEN (ANP) using NPI 1639513609?
NPI 1639513609 belongs to TAMMY S GREEN (ANP); compare other details if you need extra assurance.
Is TAMMY S GREEN (ANP) still an active registrant?
TAMMY S GREEN (ANP) carries an active NPI according to the public dataset.
What area of care is associated with TAMMY S GREEN (ANP)?
TAMMY S GREEN (ANP)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is TAMMY S GREEN (ANP) associated with Warren?
Public fields place TAMMY S GREEN (ANP) around Warren, Arkansas. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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