MR. ROGER A. GREEN (ARNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1295764892

MR. ROGER A. GREEN (ARNP) is a healthcare provider. based in Reno, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. ARNP2829342 (FL). The NPI Number for MR. ROGER A. GREEN (ARNP) is 1295764892

Main info

Male
Sole Proprietor
29 Years Of Experience
Name
MR. ROGER A. GREEN (ARNP)
NPI
1295764892
Phone
(775) 221-7400
Address
6630 S MCCARRAN BLVD STE A12
Enumeration Date
3 July 2006
Last Update Date
17 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9282894646
Graduation Year
1997 (29 years ago)
PAC ID
1850388893
Group Practice PAC ID
4284548991
Professional Enrollment ID
I20150630000811
Address ID
AZ860472169WI500XXAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,947 NURSE PRACTITIONER in NV

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Provider Addresses for MR. ROGER A. GREEN (ARNP)

  • South McCarran Boulevard, Donner Springs, Reno, Washoe County, Nevada, 89510, United States

    RENO, NV 895096114

    Phone: (775) 221-7400

    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)

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: 2025-05-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20040429001392INurse PractitionerWATBD
I20060113000228INurse PractitionerMATBD
I20150630000811INurse PractitionerTXTBD
I20160328001058INurse PractitionerNVTBD
I20250501003186INurse PractitionerNYTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes3016$0
View full utilization report →

Insurance plans in this area (ZIP 89509)

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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: 4284548991View full group profile
NameSpecialtyState
-VA
O P T O M E T R YAZ
General SurgeryAZ
Physician AssistantCO
-NY
Physical Therapist In Private PracticeAZ
Nurse PractitionerAZ
-WA
Rheumatology, Internal MedicineAZ
Cardiovascular Disease (Cardiology)AZ

Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. ROGER A. GREEN (ARNP)?
MR. ROGER A. GREEN (ARNP) — NPI 1295764892 — is the standard way to identify this listing.
Does the file indicate MR. ROGER A. GREEN (ARNP) is practicing under active NPI?
Directory data currently reports MR. ROGER A. GREEN (ARNP) as active.
What is MR. ROGER A. GREEN (ARNP)'s specialty?
The listing groups MR. ROGER A. GREEN (ARNP) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MR. ROGER A. GREEN (ARNP) list a practice location?
Patients near Reno, Nevada may find MR. ROGER A. GREEN (ARNP) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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