MRS. ANTOINETTE GREEN (FNP-BC) – Family Nurse Practitioner, NPI 1134409576

MRS. ANTOINETTE GREEN (FNP-BC) is a healthcare provider. based in Waukegan, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 209008964 (IL). The NPI Number for MRS. ANTOINETTE GREEN (FNP-BC) is 1134409576

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ANTOINETTE GREEN (FNP-BC)
NPI
1134409576
Phone
(847) 360-4303
Address
1324 N SHERIDAN RD
Enumeration Date
17 August 2011
Last Update Date
10 January 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5754494424
Graduation Year
2015 (11 years ago)
PAC ID
8325211576
Group Practice PAC ID
7618974858
Professional Enrollment ID
I20190103000572
Address ID
NM880011139LA2611XSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MRS. ANTOINETTE GREEN (FNP-BC)

  • 1324 N SHERIDAN RD

    WAUKEGAN, IL 600852161

    Phone: (847) 360-4303

    Fax: (847) 596-4506

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 43 Open Payments records for all available years, with a total value of $955.

Total Amount is formed as General ($955) + Research ($0) + Ownership ($0) = $955.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Lilly USA, LLC ($256).

Total Amount

$955

General + Research + Ownership

Payments

43

Total payment records

General Amount

$955

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2019-01-03

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
I20190103000572INurse PractitionerNMTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes14173$0
99215Established patient office or other outpatient visit, 40-54 minutes6539$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6565$0
36415Insertion of needle into vein for collection of blood sample6346$0
83036Hemoglobin a1c level2418$0
View full utilization report →

Insurance plans in this area (ZIP 60085)

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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: 7618974858View full group profile
NameSpecialtyState
-NM
Nurse PractitionerNM
Family PracticeNM
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)NY
-NM
O T O L A R Y N G O L O G YWA
Nurse PractitionerNM
-CO
Thoracic Surgery, Cardiac Surgery, General SurgeryNM
-FL

Reviews

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Frequently asked questions

Is there an official ID for MRS. ANTOINETTE GREEN (FNP-BC) in U.S. healthcare records?
The official identifier for MRS. ANTOINETTE GREEN (FNP-BC) is NPI 1134409576.
Active or inactive — what applies to MRS. ANTOINETTE GREEN (FNP-BC)?
You should see MRS. ANTOINETTE GREEN (FNP-BC) as active in CMS-hosted NPPES data.
How would a patient describe MRS. ANTOINETTE GREEN (FNP-BC)'s focus?
For MRS. ANTOINETTE GREEN (FNP-BC), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. ANTOINETTE GREEN (FNP-BC)?
Directory geography for MRS. ANTOINETTE GREEN (FNP-BC) centers on Waukegan, Illinois.
Can I trust this NPI listing for MRS. ANTOINETTE GREEN (FNP-BC)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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