HOLLY JANE GREEN (NP) – Family Nurse Practitioner, NPI 1205000718

HOLLY JANE GREEN (NP) is a healthcare provider. based in Virginia beach, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 3464314405 (UT). The NPI Number for HOLLY JANE GREEN (NP) is 1205000718

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
HOLLY JANE GREEN (NP)
NPI
1205000718
Phone
(757) 961-3055
Address
6401 AUBURN DR
Enumeration Date
15 April 2008
Last Update Date
15 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7573542885
Graduation Year
2007 (19 years ago)
PAC ID
9830262633
Group Practice PAC ID
6103288170
Professional Enrollment ID
I20151209002123
Address ID
VA23502XXXXNOXXXXXXXXXX00
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:18State licenses:2Digital endpointsOther names

8,303 NURSE PRACTITIONER in VA

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Provider Addresses for HOLLY JANE GREEN (NP)

  • 6401, Auburn Drive, Knob Hill, College Park, Virginia Beach, Virginia, 23464, United States

    VIRGINIA BEACH, VA 234643601

    Phone: (757) 961-3055

    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: 2015-12-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (890 days ago).

Enrollment records

1

Earliest due date

2023-12-31

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
I20151209002123INurse PractitionerVA2023-12-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes978267$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes271159$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes249130$0
G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a8565$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes8025$0
View full utilization report →

Insurance plans in this area (ZIP 23464)

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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: 6103288170View full group profile
NameSpecialtyState
Nurse PractitionerVA
Nurse PractitionerOH
Clinical Social WorkerVA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA
Physician AssistantVA

Reviews

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Frequently asked questions

How do I look up HOLLY JANE GREEN (NP) by NPI?
Use NPI 1205000718 when you need to reference HOLLY JANE GREEN (NP) in forms, claims, or directories.
Is HOLLY JANE GREEN (NP)'s NPI currently valid?
The extract we use shows HOLLY JANE GREEN (NP) as active.
What kind of provider is HOLLY JANE GREEN (NP)?
The page reflects Family Nurse Practitioner for HOLLY JANE GREEN (NP). Clinical services aligned with this taxonomy classification.
What location metadata exists for HOLLY JANE GREEN (NP)?
The page summarizes Virginia Beach, Virginia for HOLLY JANE GREEN (NP); expand the address list for detail.
Is HOLLY JANE GREEN (NP) a real provider?
This page reflects official NPPES data for NPI 1205000718. Always confirm identity and privileges with the practice and licensing boards.

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