MARY A. GREEN (CNM, FNP) – Family Nurse Practitioner, NPI 1831448299

MARY A. GREEN (CNM, FNP) is a healthcare provider. based in Arcadia, Wisconsin. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials CNM, FNP. They hold a License No. 148862 (WI). The NPI Number for MARY A. GREEN (CNM, FNP) is 1831448299

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MARY A. GREEN (CNM, FNP)
NPI
1831448299
Phone
(608) 323-3341
Address
464 S Saint Joseph Ave
Enumeration Date
31 August 2012
Last Update Date
26 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2706925139
Graduation Year
2012 (14 years ago)
PAC ID
3274782255
Group Practice PAC ID
3476557000
Professional Enrollment ID
I20121008000260
Address ID
KY400331634LE420XXRDXX401

Contacts

Secure Messaging
mgreen26089@ehrdirect.mayoclinicmsg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:13State licenses:2Other namesUpdated within 12 months

139 CERTIFIED NURSE MIDWIFE (CNM) in WI

Provider Addresses for MARY A. GREEN (CNM, FNP)

  • 464 S Saint Joseph Ave

    Arcadia, WI 546121401

    Phone: (608) 323-3341

    Type: Location

  • PO BOX 1510

    EAU CLAIRE, WI 547021510

    Phone: (608) 785-0940

    Type: Mailing

  • 200 1ST ST SW

    ROCHESTER, MN 559050001

    Phone: (608) 785-0940

    Type: Mailing

  • 895 DETTLOFF DR

    ARCADIA, WI 54612

    Phone: (608) 323-3373

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2023-12-14 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($13).

Total Amount

$26

General + Research + Ownership

Payments

2

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-14

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: 2022-09-09

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
I20220909002855ICertified Nurse Midwife (Cnm)KYTBD

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 54612)

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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: 3476557000View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTN
O B S T E T R I C S/ G Y N E C O L O G YKY
General SurgeryTN
Orthopedic SurgeryTN
P O D I A T R YKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
A N E S T H E S I O L O G YKY
Orthopedic SurgeryKY

Reviews

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Frequently asked questions

How is MARY A. GREEN (CNM, FNP) identified in CMS data?
CMS-hosted NPPES data lists MARY A. GREEN (CNM, FNP) with NPI 1831448299.
Can I rely on MARY A. GREEN (CNM, FNP) being an active provider?
As of the registry snapshot, MARY A. GREEN (CNM, FNP) is marked active.
What is MARY A. GREEN (CNM, FNP)'s specialty?
The listing groups MARY A. GREEN (CNM, FNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MARY A. GREEN (CNM, FNP) based?
MARY A. GREEN (CNM, FNP) is tied to Arcadia, Wisconsin in the data we show; additional addresses may exist on the full record.
Why does MARY A. GREEN (CNM, FNP) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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