JULIE ANN GREEN (MD) – Dermatology Physician, NPI 1184935256

JULIE ANN GREEN (MD) is a healthcare provider. based in Leawood, Kansas. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 2010017730 (MO). The NPI Number for JULIE ANN GREEN (MD) is 1184935256

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
JULIE ANN GREEN (MD)
NPI
1184935256
Phone
(913) 451-7546
Address
11550 GRANADA ST
Enumeration Date
23 June 2010
Last Update Date
4 August 2017

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9135413230
Graduation Year
2010 (16 years ago)
PAC ID
9436377876
Group Practice PAC ID
4082046412
Professional Enrollment ID
I20181128001002
Address ID
KS662101836OV8505XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

337 DERMATOLOGY in MO

Provider Addresses for JULIE ANN GREEN (MD)

  • 11550 GRANADA ST

    LEAWOOD, KS 662111453

    Phone: (913) 451-7546

    Fax: (913) 663-2411

    Type: Mailing

  • 3265 NE RALPH POWELL RD

    LEES SUMMIT, MO 640642301

    Phone: (913) 451-7546

    Fax: (816) 524-4929

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $93.

Total Amount is formed as General ($93) + Research ($0) + Ownership ($0) = $93.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Amgen Inc. ($22).

Total Amount

$93

General + Research + Ownership

Payments

5

Total payment records

General Amount

$93

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2018-11-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20140827001664IDermatologyMOTBD
I20181128001002IDermatologyKSTBD

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 66211)

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Provider's Procedures

JULIE ANN GREEN (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYMO11101Biopsy of each additional growth of skin and/or tissue5245

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: 4082046412View full group profile
NameSpecialtyState
Nurse PractitionerKS
Nurse PractitionerKS
Nurse PractitionerMO
Dermatology, Micrographic Dermatologic Surgery (Mds)MO
-KS
Physician AssistantKS
Physician AssistantMO
Physician AssistantMO
D E R M A T O L O G YMO
D E R M A T O L O G YMO

Reviews

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Frequently asked questions

What is the standard ID for JULIE ANN GREEN (MD) in the U.S.?
In the U.S., JULIE ANN GREEN (MD) is identified by NPI 1184935256.
Quick check: is JULIE ANN GREEN (MD) active?
Public NPPES data shows JULIE ANN GREEN (MD) with an active NPI status right now.
Which specialty label fits JULIE ANN GREEN (MD)?
NPPES ties JULIE ANN GREEN (MD) to Dermatology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to JULIE ANN GREEN (MD)?
The directory associates JULIE ANN GREEN (MD) with Leawood, Kansas. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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