MS. AMY GREEN (CNP) – Adult Health Nurse Practitioner, NPI 1063413037

MS. AMY GREEN (CNP) is a healthcare provider. based in Cleveland, Ohio. specializing in Adult Health Nurse Practitioner. They hold the professional credentials CNP. They hold a License No. NP03827 (OH). The NPI Number for MS. AMY GREEN (CNP) is 1063413037

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
MS. AMY GREEN (CNP)
NPI
1063413037
Phone
Not provided
Address
2500 METROHEALTH DR
Enumeration Date
2 August 2005
Last Update Date
27 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2167787800
Graduation Year
1997 (29 years ago)
PAC ID
5395746804
Group Practice PAC ID
8628982949
Professional Enrollment ID
I20070126000144

Contacts

Secure Messaging
agreen52693@direct.metrohealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for MS. AMY GREEN (CNP)

  • MetroHealth Medical Center, 2500, Metrohealth Drive, Brooklyn Centre, Cleveland, Cuyahoga County, Ohio, 44109, United States

    CLEVELAND, OH 441091900

    Phone:

    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: 2007-01-26

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
I20070126000144INurse PractitionerOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44109)

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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: 8628982949View full group profile
NameSpecialtyState
-OH
-OH
Plastic And Reconstructive Surgery, Maxillofacial SurgeryOH
Cardiovascular Disease (Cardiology)OH
Emergency MedicineIN
Nurse PractitionerOH
-OH
Cardiovascular Disease (Cardiology), Internal MedicineOH
-OH
-VA

Reviews

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Frequently asked questions

What number should I use to identify MS. AMY GREEN (CNP) for billing?
Administrative and clinical systems typically use NPI 1063413037 for MS. AMY GREEN (CNP).
Quick check: is MS. AMY GREEN (CNP) active?
Public NPPES data shows MS. AMY GREEN (CNP) with an active NPI status right now.
What type of care does MS. AMY GREEN (CNP) provide?
MS. AMY GREEN (CNP)'s profile centers on Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MS. AMY GREEN (CNP) tied to Cleveland, Ohio?
If you are local to Cleveland, Ohio, MS. AMY GREEN (CNP) may be relevant to your search.
Why is information missing for MS. AMY GREEN (CNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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