KATIE GREEN (CNP) – Family Nurse Practitioner, NPI 1205296795

KATIE GREEN (CNP) is a healthcare provider. based in Kingston, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. 120240 (OK). The NPI Number for KATIE GREEN (CNP) is 1205296795

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
KATIE GREEN (CNP)
NPI
1205296795
Phone
(580) 564-0200
Address
PO BOX 1798
Enumeration Date
26 February 2016
Last Update Date
20 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9039570275
Graduation Year
2015 (11 years ago)
PAC ID
4183914914
Group Practice PAC ID
5496650301
Professional Enrollment ID
I20241024002756
Address ID
TX750905000SH230XXSTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

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Provider Addresses for KATIE GREEN (CNP)

  • PO BOX 1798

    KINGSTON, OK 734391798

    Phone: (580) 564-0200

    Fax: (580) 564-0201

    Type: Mailing

  • The Highway, Hotham Road South, Hull, Kingston upon Hull, Yorkshire and the Humber, England, HU5 5LH, United Kingdom

    KINGSTON, OK 734398252

    Phone: (580) 564-0200

    Fax: (580) 564-0201

    Type: Location

  • 230 E SYCAMORE ST STE 200

    SHERMAN, TX 750905017

    Phone: (903) 957-0275

    Fax: (903) 957-0279

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $305.

Total Amount is formed as General ($305) + Research ($0) + Ownership ($0) = $305.

Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Amgen Inc. ($155).

Total Amount

$305

General + Research + Ownership

Payments

9

Total payment records

General Amount

$305

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-10-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20160607000063INurse PractitionerOKTBD
I20241024002756INurse PractitionerTXTBD

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 73439)

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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: 5496650301View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTX
Nurse PractitionerTX
O B S T E T R I C S/ G Y N E C O L O G YNE
-TX
-TX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Does KATIE GREEN (CNP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KATIE GREEN (CNP) uses 1205296795.
Does the file indicate KATIE GREEN (CNP) is practicing under active NPI?
Directory data currently reports KATIE GREEN (CNP) as active.
What is KATIE GREEN (CNP) best known for clinically?
Directory data describes KATIE GREEN (CNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for KATIE GREEN (CNP)?
KATIE GREEN (CNP)'s geographic hint is Kingston, Oklahoma in our summary view.
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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