MRS. JEAN CAROLL GREEN-BLAIR (ARNP) – Family Nurse Practitioner, NPI 1205992450
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MRS. JEAN CAROLL GREEN-BLAIR (ARNP)
21297 Olean Blvd
Port Charlotte, FL 339526704
Phone: (941) 875-9298
Fax: (941) 235-8749
Type: Location
Florida Department of Health in Charlotte County, 1100, Loveland Boulevard, Port Charlotte, Charlotte County, Florida, 33980, United States
PORT CHARLOTTE, FL 339801802
Phone: (941) 624-7200
Fax: (941) 624-7202
Type: Mailing
34 S BALDWIN AVE
ARCADIA, FL 342663387
Phone: (863) 491-4601
Fax: (863) 491-7580
Type: Mailing
815 N MILLS AVE STE 103
ARCADIA, FL 342668716
Phone: (863) 491-7580
Fax: (863) 491-7584
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $815.
Total Amount is formed as General ($815) + Research ($0) + Ownership ($0) = $815.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Gilead Sciences, Inc. ($633).
Total Amount
$815
General + Research + Ownership
Payments
13
Total payment records
General Amount
$815
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $633 |
| ViiV Healthcare Company | $182 |
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: 2004-07-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040712001425 | I | Nurse Practitioner | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 36 | 18 | $0 |
Insurance plans in this area (ZIP 33952)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Practice | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Emergency Medicine | FL | |
| - | FL | |
| - | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| Nurse Practitioner | FL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.