MARCIA W GREEN (FNP) – Nurse Practitioner, NPI 1134163868

MARCIA W GREEN (FNP) is a healthcare provider. based in Tyler, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 660992 (TX). The NPI Number for MARCIA W GREEN (FNP) is 1134163868

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MARCIA W GREEN (FNP)
NPI
1134163868
Phone
(903) 606-5600
Address
700 S Fleishel Ave
Enumeration Date
15 June 2006
Last Update Date
28 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
7719982479
Group Practice PAC ID
3072426741
Professional Enrollment ID
I20061002000440
Address ID
TX752846098DAPOXXXBOXX201
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

Provider Addresses for MARCIA W GREEN (FNP)

  • 700 S Fleishel Ave

    Tyler, TX 757012014

    Phone: (903) 606-5600

    Type: Location

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752846098

    Phone: (903) 324-6450

    Type: Mailing

  • 520, East Douglas Boulevard, Tyler, Smith County, Texas, 75702, United States

    TYLER, TX 757028307

    Phone: (903) 593-1721

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $130.

Total Amount is formed as General ($130) + Research ($0) + Ownership ($0) = $130.

Last reported payment date: 2024-04-18 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($130).

Total Amount

$130

General + Research + Ownership

Payments

1

Total payment records

General Amount

$130

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-18

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: 2006-10-02

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
I20061002000440INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes8566$0
99213Established patient office or other outpatient visit, 20-29 minutes7262$0
View full utilization report →

Insurance plans in this area (ZIP 75701)

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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: 3072426741View full group profile
NameSpecialtyState
General SurgeryAZ
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
E N D O C R I N O L O G YTX
-NC
Physician AssistantLA
Hospitalist, GastroenterologyTX
Internal MedicineTX

Reviews

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Frequently asked questions

Does MARCIA W GREEN (FNP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MARCIA W GREEN (FNP) uses 1134163868.
Does CMS list MARCIA W GREEN (FNP) as active?
Yes — MARCIA W GREEN (FNP) is active in the NPI listing used on this page.
What is MARCIA W GREEN (FNP)'s primary classification?
Nurse Practitioner is the headline specialty for MARCIA W GREEN (FNP) here. Clinical services aligned with this taxonomy classification.
What address line appears for MARCIA W GREEN (FNP)?
MARCIA W GREEN (FNP)'s geographic hint is Tyler, Texas in our summary view.
Why does MARCIA W GREEN (FNP) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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