MS. CHARLOTTE RENAE GREEN (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1174843742
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,566 NURSE PRACTITIONER in MS
Provider Addresses for MS. CHARLOTTE RENAE GREEN (PMHNP-BC)
4579 S EASON BLVD
TUPELO, MS 388016539
Phone: (662) 377-7590
Fax: (662) 377-7595
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $127.
Total Amount is formed as General ($127) + Research ($0) + Ownership ($0) = $127.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Pharmacyclics LLC, an AbbVie Company ($97).
Total Amount
$127
General + Research + Ownership
Payments
8
Total payment records
General Amount
$127
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
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: 2010-10-29
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 |
|---|---|---|---|---|
| I20101029001136 | I | Nurse Practitioner | MS | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 122 | 79 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 108 | 29 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 29 | 14 | $0 |
Insurance plans in this area (ZIP 38801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MS | |
| - | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MS | |
| Gynecological Oncology, Obstetrics/Gynecology | AL | |
| - | MS | |
| Clinical Social Worker | MS | |
| - | TN | |
| Nurse Practitioner | MS | |
| Certified Registered Nurse Anesthetist (Crna) | MS | |
| - | MS |
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