ERICA LAUREN MILLER GREEN (DNP, PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1710409495
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
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Provider Addresses for ERICA LAUREN MILLER GREEN (DNP, PMHNP)
PrairieCare Children's Psychiatric Hospital, 9400, Zane Avenue North, Brooklyn Park, Hennepin County, Minnesota, 55443, United States
BROOKLYN PARK, MN 554431814
Phone: (763) 762-8800
Type: Mailing
6363, France Avenue South, Edina, Hennepin County, Minnesota, 55410, United States
EDINA, MN 554352129
Phone: (952) 903-1265
Fax: (952) 922-2525
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $422.
Total Amount is formed as General ($422) + Research ($0) + Ownership ($0) = $422.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Boston Scientific Corporation ($248).
Total Amount
$422
General + Research + Ownership
Payments
12
Total payment records
General Amount
$422
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2017-11-29
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 |
|---|---|---|---|---|
| I20171129003128 | I | Nurse Practitioner | MN | 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 55443)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MN | |
| P S Y C H I A T R Y | MN | |
| Nurse Practitioner | MN | |
| Mental Health Counselor | FL | |
| Clinical Social Worker | MN | |
| Clinical Social Worker | MN | |
| Clinical Social Worker | MN | |
| Clinical Social Worker | MN | |
| Marriage And Family Therapist | MN | |
| Mental Health Counselor | MN |
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