KASEY CORY GREEN – Nurse Practitioner, NPI 1508268442

KASEY CORY GREEN is a healthcare provider. based in Moore, Oklahoma. specializing in Nurse Practitioner. They hold a License No. 87123 (OK). The NPI Number for KASEY CORY GREEN is 1508268442

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
KASEY CORY GREEN
NPI
1508268442
Phone
(405) 237-7507
Address
2900 S TELEPHONE RD
Enumeration Date
23 September 2014
Last Update Date
15 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4055627532
Graduation Year
2014 (12 years ago)
PAC ID
7810210812
Group Practice PAC ID
9739131442
Professional Enrollment ID
I20141224000398
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

Provider Addresses for KASEY CORY GREEN

  • 2900 S TELEPHONE RD

    SUITE 250

    MOORE, OK 731602968

    Phone: (405) 237-7507

    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: 2014-12-24

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
I20141224000398INurse PractitionerOKTBD

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 making6663$0
99284Emergency department visit with moderate level of medical decision making5655$0
99283Emergency department visit with low level of medical decision making2523$0
99282Emergency department visit with straightforward medical decision making1616$0
View full utilization report →

Insurance plans in this area (ZIP 73160)

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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: 9739131442View full group profile

Reviews

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Frequently asked questions

What is the standard ID for KASEY CORY GREEN in the U.S.?
In the U.S., KASEY CORY GREEN is identified by NPI 1508268442.
Quick check: is KASEY CORY GREEN active?
Public NPPES data shows KASEY CORY GREEN with an active NPI status right now.
What type of care does KASEY CORY GREEN provide?
KASEY CORY GREEN's profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to KASEY CORY GREEN?
The directory associates KASEY CORY GREEN with Moore, Oklahoma. Check all listed addresses for suites or satellite offices.
Who maintains KASEY CORY GREEN's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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