Jerry Green, FNP

NPI: 1366449316

Jerry Green, FNP

Q: What is Jerry Green's NPI number?

Jerry Green's NPI number is 1366449316, a unique 10-digit identifier issued by CMS.

Q: What does Jerry Green specialize in?

Jerry Green specializes in Nurse Practitioner, taxonomy code 363LF0000X.

Q: Where does Jerry Green practice?

Jerry Green practices in Fort Leavenworth, KS 66027-2332.

Q: When was Jerry Green's NPI issued?

Jerry Green's NPI was issued on July 6, 2005.

Q: What is Jerry Green's provider type?

Jerry Green is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderNurse Practitioner

NPI issued: July 6, 2005

Quick Facts

NPI Number

1366449316

TypeIndividual

StatusActive

SpecialtyNurse Practitioner

Taxonomy363LF0000X — Nurse Practitioner

Phone

(913) 684-6562

StateKS

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1366449316)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (July 6, 2005)

Data source: CMS NPPES

Provider Overview

JERRY GREEN, FNP is a Nurse Practitioner provider based in Fort Leavenworth, KS who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1366449316

Provider TypeIndividual Provider

GenderMale

CredentialFNP

StatusActive

Enumeration DateJuly 6, 2005

Practice Location

CityFort Leavenworth

StateKS

ZIP Code66027-2332

Phone(913) 684-6562

Specialties & Licenses

★ Primary

SpecialtyNurse Practitioner

Taxonomy Code363LF0000X

License StateKS

Mailing Address

CityFort Leavenworth

StateKS

ZIP Code66027-2332

Phone(913) 684-6562

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1366449316 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1366449316for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1366449316 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

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