TAMMY LYNN GREEN (APRN) – Family Nurse Practitioner, NPI 1013361435

TAMMY LYNN GREEN (APRN) is a healthcare provider. based in North las vegas, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN002197 (NV). The NPI Number for TAMMY LYNN GREEN (APRN) is 1013361435

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
TAMMY LYNN GREEN (APRN)
NPI
1013361435
Phone
(702) 235-3488
Address
3640 WEDO WAY
Enumeration Date
21 April 2016
Last Update Date
29 April 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549395000
Graduation Year
2016 (10 years ago)
PAC ID
6002192028
Group Practice PAC ID
2860667375
Professional Enrollment ID
I20170405002111
Address ID
NV891064119LA620XXLNXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

2,947 NURSE PRACTITIONER in NV

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Provider Addresses for TAMMY LYNN GREEN (APRN)

  • 3640 WEDO WAY

    NORTH LAS VEGAS, NV 890312281

    Phone: (702) 235-3488

    Type: Mailing

  • North Tenaya Way, Las Vegas, Clark County, Nevada, 89128, United States

    SUITE 210

    LAS VEGAS, NV 891281420

    Phone: (702) 255-0500

    Fax: (702) 821-1704

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-04-05

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
I20170405002111INurse PractitionerNVTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making5958$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2222$0
99284Emergency department visit with moderate level of medical decision making1414$0
View full utilization report →

Insurance plans in this area (ZIP 89031)

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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: 2860667375View full group profile
NameSpecialtyState
Nurse PractitionerNV
-NV
Nurse PractitionerNV
-NV
Nurse PractitionerNV
Emergency MedicineNV
Emergency MedicineNV
-NV
Pediatric MedicineIL
Emergency MedicineNY

Reviews

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Frequently asked questions

What is TAMMY LYNN GREEN (APRN)'s NPI number?
TAMMY LYNN GREEN (APRN)'s NPI is 1013361435 — the number used across U.S. healthcare to identify this provider.
Would TAMMY LYNN GREEN (APRN) appear as active to a payer?
You can treat TAMMY LYNN GREEN (APRN) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with TAMMY LYNN GREEN (APRN)?
TAMMY LYNN GREEN (APRN)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with TAMMY LYNN GREEN (APRN)?
Directory geography for TAMMY LYNN GREEN (APRN) centers on North Las Vegas, Nevada.
Can I trust this NPI listing for TAMMY LYNN GREEN (APRN)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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