KENDRA JANE GREEN (FNP-C) – Family Nurse Practitioner, NPI 1952849770
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
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Provider Addresses for KENDRA JANE GREEN (FNP-C)
4600, Memorial Drive, Royal Heights, Belleville, Saint Clair County, Illinois, 62226, United States
STE 80
BELLEVILLE, IL 622265359
Phone: (618) 277-0001
Fax: (618) 277-7339
Type: Location
4905 STONE FALLS CTR STE B
O FALLON, IL 622697802
Phone: (618) 277-0001
Fax: (618) 277-7339
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $69.
Total Amount is formed as General ($69) + Research ($0) + Ownership ($0) = $69.
Last reported payment date: 2024-02-09 • Largest payer in this snapshot: Averitas Pharma Inc. ($41).
Total Amount
$69
General + Research + Ownership
Payments
4
Total payment records
General Amount
$69
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Averitas Pharma Inc. | $41 |
| Elite Orthopedics, LLC | $15 |
| Paragon 28, Inc. | $13 |
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: 2017-03-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170310000551 | I | Nurse Practitioner | IL | 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 |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 96 | 64 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 82 | 82 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 70 | 44 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 52 | 11 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 33 | 26 | $0 |
Insurance plans in this area (ZIP 62226)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| P O D I A T R Y | IL | |
| Nurse Practitioner | IL | |
| P O D I A T R Y | IL |
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