MARY KIMBERLY GREEN (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1801395967
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,347 NURSE PRACTITIONER in KY
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Provider Addresses for MARY KIMBERLY GREEN (APRN)
880, Old Tram Road, Bowling Green, Warren County, Kentucky, 42101, United States
BOWLING GREEN, KY 421019021
Phone: (270) 799-2268
Type: Mailing
1035, Porter Pike, Bowling Green, Warren County, Kentucky, 42103, United States
BOWLING GREEN, KY 421039581
Phone: (270) 843-1199
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 73 Open Payments records for all available years, with a total value of $1,477.
Total Amount is formed as General ($1,477) + Research ($0) + Ownership ($0) = $1,477.
Last reported payment date: 2024-12-21 • Largest payer in this snapshot: ABBVIE INC. ($553).
Total Amount
$1,477
General + Research + Ownership
Payments
73
Total payment records
General Amount
$1,477
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $553 |
| Corium, LLC | $479 |
| Axsome Therapeutics, Inc. | $145 |
| ITI, Inc. | $133 |
| IRONSHORE PHARMACEUTICALS INC. | $65 |
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: 2018-03-21
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 |
|---|---|---|---|---|
| I20180321001918 | I | Nurse Practitioner | KY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 42101)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | KY | |
| - | KY | |
| P S Y C H I A T R Y | KY | |
| P S Y C H I A T R Y | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY |
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