MRS. KATHERYN GREEN (NP) – Family Nurse Practitioner, NPI 1891734489

MRS. KATHERYN GREEN (NP) is a healthcare provider. based in Chandler, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 630050 (TX). The NPI Number for MRS. KATHERYN GREEN (NP) is 1891734489

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KATHERYN GREEN (NP)
NPI
1891734489
Phone
(903) 849-5173
Address
533 PECOS ST
Enumeration Date
6 June 2006
Last Update Date
30 December 2008

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
9035977558
Graduation Year
2005 (21 years ago)
PAC ID
8325060221
Group Practice PAC ID
1355326158
Professional Enrollment ID
I20051220000442
Address ID
TX757012119TY1300XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for MRS. KATHERYN GREEN (NP)

  • Gilbert Rd & Fairview St - CGCC Pecos, 2626, East Pecos Road, Chandler, Maricopa County, Arizona, 85225, United States

    CHANDLER, TX 757589444

    Phone: (903) 849-5173

    Fax: (903) 849-2818

    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)

CMS reports 83 Open Payments records for all available years, with a total value of $1,966.

Total Amount is formed as General ($1,966) + Research ($0) + Ownership ($0) = $1,966.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ViiV Healthcare Company ($1,051).

Total Amount

$1,966

General + Research + Ownership

Payments

83

Total payment records

General Amount

$1,966

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2005-12-20

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
I20051220000442INurse 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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes14853$0
99214Established patient office or other outpatient visit, 30-39 minutes2613$0
99213Established patient office or other outpatient visit, 20-29 minutes2113$0
99204New patient office or other outpatient visit, 45-59 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 75758)

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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: 1355326158View full group profile
NameSpecialtyState
Internal Medicine, Infectious DiseaseTX
-TX
Infectious Disease, Internal MedicineTX
Nurse PractitionerTX
O B S T E T R I C S/ G Y N E C O L O G YTX
P S Y C H I A T R YTX
Nurse PractitionerTX
Anesthesiology, Interventional Pain ManagementTX
Nurse PractitionerTX
Physician AssistantTX

Reviews

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Frequently asked questions

Is MRS. KATHERYN GREEN (NP) listed with a National Provider Identifier?
Yes — MRS. KATHERYN GREEN (NP) has NPI 1891734489 on file in the registry.
Is there an active status for MRS. KATHERYN GREEN (NP)?
For scheduling context, MRS. KATHERYN GREEN (NP) is shown as active in the registry.
What expertise is attributed to MRS. KATHERYN GREEN (NP)?
MRS. KATHERYN GREEN (NP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Texas is MRS. KATHERYN GREEN (NP) registered?
Use Chandler, Texas as the headline location for MRS. KATHERYN GREEN (NP) here.
Can I trust this NPI listing for MRS. KATHERYN GREEN (NP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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