CARLY GREENE (RN, MSN, FNP-C) – Family Nurse Practitioner, NPI 1619250552

CARLY GREENE (RN, MSN, FNP-C) is a healthcare provider. based in Aurora, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, MSN, FNP-C. They hold a License No. APN.0990170-NP (CO). The NPI Number for CARLY GREENE (RN, MSN, FNP-C) is 1619250552

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
CARLY GREENE (RN, MSN, FNP-C)
NPI
1619250552
Phone
(303) 338-4545
Address
14701 E EXPOSITION AVE
Enumeration Date
27 September 2011
Last Update Date
27 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7203941366
Graduation Year
2011 (15 years ago)
PAC ID
3779713078
Group Practice PAC ID
8820520786
Professional Enrollment ID
I20140306001512
Address ID
CO80222XXXXDEXXXXXXXXXX00

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

5,201 NURSE PRACTITIONER in CO

Provider Addresses for CARLY GREENE (RN, MSN, FNP-C)

  • 14701 E EXPOSITION AVE

    AURORA, CO 80012

    Phone: (303) 338-4545

    Type: Location

  • 10350 E DAKOTA AVE

    DENVER, CO 802471314

    Phone:

    Type: Mailing

  • 10168 PARKGLENN WAY

    PARKER, CO 801383868

    Phone: (303) 338-4545

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $56.

Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.

Last reported payment date: 2023-05-24 • Largest payer in this snapshot: ABBVIE INC. ($33).

Total Amount

$56

General + Research + Ownership

Payments

2

Total payment records

General Amount

$56

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$33
PFIZER INC.$22
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: 2014-03-06

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
I20140306001512INurse PractitionerCOTBD

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 80012)

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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: 8820520786View full group profile
NameSpecialtyState
Nurse PractitionerCO

Reviews

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Frequently asked questions

Can I verify CARLY GREENE (RN, MSN, FNP-C) with an NPI only?
You can start verification with NPI 1619250552 for CARLY GREENE (RN, MSN, FNP-C), then check state licensing separately.
Can I rely on CARLY GREENE (RN, MSN, FNP-C) being an active provider?
As of the registry snapshot, CARLY GREENE (RN, MSN, FNP-C) is marked active.
What healthcare role does CARLY GREENE (RN, MSN, FNP-C) hold?
Scheduling teams often label CARLY GREENE (RN, MSN, FNP-C) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for CARLY GREENE (RN, MSN, FNP-C)?
CARLY GREENE (RN, MSN, FNP-C)'s geographic hint is Aurora, Colorado in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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