MRS. STEPHANIE L GREEN (CFNP) – Family Nurse Practitioner, NPI 1376504357
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,112 NURSE PRACTITIONER in NE
Provider Addresses for MRS. STEPHANIE L GREEN (CFNP)
1000 POLE CREEK XING STE 1
SIDNEY, NE 691622902
Phone: (308) 254-5544
Fax: (308) 254-2672
Type: Mailing
PO BOX 397
BOARDMAN, OR 978180397
Phone: (541) 481-7212
Fax: (541) 481-5447
Type: Mailing
450 TATONE ST
BOARDMAN, OR 978188076
Phone: (541) 481-7212
Fax: (541) 481-2020
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 $262.
Total Amount is formed as General ($262) + Research ($0) + Ownership ($0) = $262.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($216).
Total Amount
$262
General + Research + Ownership
Payments
14
Total payment records
General Amount
$262
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $216 |
| Boston Scientific Corporation | $28 |
| Exact Sciences Corporation | $18 |
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: 2004-11-01
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 |
|---|---|---|---|---|
| I20041101000642 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 69162)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OR | |
| Nurse Practitioner | OR | |
| Physician Assistant | OR | |
| - | OR | |
| - | OR | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | OR | |
| Family Practice | OR | |
| - | OR | |
| Clinical Social Worker | OR |
Reviews
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