Miss Nicole A Green, NP - Medicare Nurse Practitioner in Valparaiso, IN

Miss Nicole A Green, NP is a medicare enrolled "Nurse Practitioner - Family" in Valparaiso, Indiana. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Community Care Network Inc, Rci (wrs), Llc. and her current practice location is 3800 St Mary Dr, Suite 103, Valparaiso, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 464-2123.

Miss Nicole A Green is licensed to practice in Indiana (license number 71004197A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013268929.

Contact Information

Miss Nicole A Green, NP
3800 St Mary Dr, Suite 103,
Valparaiso, IN 46383-7502
(219) 464-2123
(219) 465-0032



Provider's Profile

Full NameMiss Nicole A Green
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location3800 St Mary Dr, Valparaiso, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Miss Nicole A Green graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1013268929
  • Provider Enumeration Date: 10/02/2012
  • Last Update Date: 01/31/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 2365694502
  • Enrollment ID: I20121214000147

Medical Identifiers

Medical identifiers for Miss Nicole A Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013268929NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 28171988A (Indiana)Secondary
363LF0000XNurse Practitioner - Family 71004197A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Mary Medical Center IncHobart, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Care Network Inc3678737012360
Rci (wrs), Llc.5092624510312

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Miss Nicole A Green allows following entities to bill medicare on her behalf.
Entity NameCommunity Care Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457610487
PECOS PAC ID: 3678737012
Enrollment ID: O20120614000331

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Nicole A Green is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Miss Nicole A Green, NP
3800 St Mary Dr, Suite 103,
Valparaiso, IN 46383-7502

Ph: (219) 464-2123
Miss Nicole A Green, NP
3800 St Mary Dr, Suite 103,
Valparaiso, IN 46383-7502

Ph: (219) 464-2123

News Archive

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Medical researchers have long suspected a relationship between gastro-esophageal reflux disease (GERD) and obstructive sleep apnea (OSA), two medical conditions which can have a deleterious effect on a patient¡¯s quality of life.

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Nurse Practitioner Nurses in Valparaiso, IN

Miss Jessica Diehl, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2307 Laporte Ave Ste 8, Valparaiso, IN 46383
Phone: 219-464-7073    Fax: 219-464-7543
Elizabeth Victoria Moerman, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 606 Lincolnway, Valparaiso, IN 46383
Phone: 219-247-4003    Fax: 574-203-9702
Asha Koshy, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1001 Sturdy Rd, Valparaiso, IN 46383
Phone: 219-462-7173    Fax: 219-462-7504
Ms. Chrysanthemum M Davis, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1551 South Sturdy Rd., Valparaiso, IN 46383
Phone: 219-531-0200    Fax: 219-531-0045
Melissa M Dvorscak, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1105 Cumberland Xing, Valparaiso, IN 46383
Phone: 219-763-8112    Fax: 219-764-5380
Frances Denean Laka, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1805 Calumet Ave, Valparaiso, IN 46383
Phone: 574-215-1039    
Mrs. Karla Joann Hanson, AGACNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2000 Roosevelt Rd Bldg A, Valparaiso, IN 46383
Phone: 219-263-7240    

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