MR. LUKE GREENE (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1134423056

MR. LUKE GREENE (PMHNP) is a healthcare provider. based in Centralia, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 716210 (CA). The NPI Number for MR. LUKE GREENE (PMHNP) is 1134423056

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MR. LUKE GREENE (PMHNP)
NPI
1134423056
Phone
(360) 330-9044
Address
2428 W REYNOLDS AVE
Enumeration Date
6 January 2011
Last Update Date
8 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3605069212
Graduation Year
2012 (14 years ago)
PAC ID
1355586033
Professional Enrollment ID
I20161206001098
Address ID
WA985323043CH409XXBLVD401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:15State licenses:2Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

Provider Addresses for MR. LUKE GREENE (PMHNP)

  • 2428 W REYNOLDS AVE

    CENTRALIA, WA 985314554

    Phone: (360) 330-9044

    Fax: (360) 736-3139

    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 5 Open Payments records for all available years, with a total value of $93.

Total Amount is formed as General ($93) + Research ($0) + Ownership ($0) = $93.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Alkermes, Inc. ($80).

Total Amount

$93

General + Research + Ownership

Payments

5

Total payment records

General Amount

$93

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

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: 2016-12-06

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
I20161206001098INurse PractitionerWATBD

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 98531)

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Reviews

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Frequently asked questions

Can I cross-check MR. LUKE GREENE (PMHNP) using NPI 1134423056?
NPI 1134423056 belongs to MR. LUKE GREENE (PMHNP); compare other details if you need extra assurance.
Is MR. LUKE GREENE (PMHNP) shown as active in public data?
Registry records indicate MR. LUKE GREENE (PMHNP) maintains an active NPI.
What clinical focus is listed for MR. LUKE GREENE (PMHNP)?
At a glance, MR. LUKE GREENE (PMHNP) is tied to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. LUKE GREENE (PMHNP)?
Travel planning: use Centralia, Washington as the reference point for MR. LUKE GREENE (PMHNP), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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