REBECCA J GREEN (APRN) – Family Nurse Practitioner, NPI 1285086520

REBECCA J GREEN (APRN) is a healthcare provider. based in Manchester, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3010388 (KY). The NPI Number for REBECCA J GREEN (APRN) is 1285086520

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA J GREEN (APRN)
NPI
1285086520
Phone
(606) 599-0169
Address
515 MEMORIAL DR
Enumeration Date
11 July 2016
Last Update Date
31 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6068783240
Graduation Year
2016 (10 years ago)
PAC ID
0446544951
Group Practice PAC ID
6204721566
Professional Enrollment ID
I20191213001004
Address ID
KY407413040LO803XXRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

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Provider Addresses for REBECCA J GREEN (APRN)

  • 515, Memorial Drive, Manchester, Clay County, Kentucky, 40962, United States

    SUITE 3

    MANCHESTER, KY 409629157

    Phone: (606) 599-0169

    Fax: (606) 599-0297

    Type: Mailing

  • 803 MEYERS BAKER RD STE 200

    LONDON, KY 407413040

    Phone: (606) 878-3240

    Fax: (606) 878-3245

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $243.

Total Amount is formed as General ($243) + Research ($0) + Ownership ($0) = $243.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Novo Nordisk Inc ($54).

Total Amount

$243

General + Research + Ownership

Payments

14

Total payment records

General Amount

$243

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2019-12-13

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
I20191213001004INurse PractitionerKYTBD

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 40962)

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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: 6204721566View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YKY
Nurse PractitionerKY
O B S T E T R I C S/ G Y N E C O L O G YKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
-KY
-KY
Nurse PractitionerKY
O B S T E T R I C S/ G Y N E C O L O G YKY

Reviews

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Frequently asked questions

Where can patients find REBECCA J GREEN (APRN)'s NPI?
You can confirm REBECCA J GREEN (APRN) with NPI 1285086520; it appears in the national provider directory.
Does this profile mean REBECCA J GREEN (APRN) is currently active?
Yes — REBECCA J GREEN (APRN) appears active in the national provider directory.
What kind of provider is REBECCA J GREEN (APRN)?
The page reflects Family Nurse Practitioner for REBECCA J GREEN (APRN). Clinical services aligned with this taxonomy classification.
What location shows for REBECCA J GREEN (APRN)?
We surface Manchester, Kentucky for REBECCA J GREEN (APRN) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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