Mrs Stephanie L Green, CFNP - Medicare Nurse Practitioner in Boardman, OR

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Mrs Stephanie L Green, CFNP is a medicare enrolled "Nurse Practitioner - Family" in Boardman, Oregon. She graduated from nursing school in 2004 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Shc Medical Partners Of Mississippi Llc, Icp Mississippi Aco Billing Llc, Columbia River Health, Columbia River Health and her current practice location is 450 Tatone St, Boardman, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 481-7212.

Mrs Stephanie L Green is licensed to practice in Nebraska (license number 2066) 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 1376504357.

Contact Information

Mrs Stephanie L Green, CFNP
450 Tatone St,
Boardman, OR 97818-8076
(541) 481-7212
(541) 481-2020

Map and Direction




Provider's Profile

Full NameMrs Stephanie L Green
GenderFemale
SpecialityNurse Practitioner
Experience21 Years
Location450 Tatone St, Boardman, Oregon
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:
  • Mrs Stephanie L Green graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1376504357
  • Provider Enumeration Date: 03/30/2006
  • Last Update Date: 04/21/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8224090303
  • Enrollment ID: I20041101000642

Medical Identifiers

Medical identifiers for Mrs Stephanie L Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376504357NPI-NPPES
07358266MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 804976 (Mississippi)Secondary
363LF0000XNurse Practitioner - Family APN.0992934-NP (Colorado)Secondary
363LF0000XNurse Practitioner - Family 2066 (Nebraska)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Good Shepherd Medical CenterHermiston, ORHospital
Forrest General HospitalHattiesburg, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Shc Medical Partners Of Mississippi Llc59912402022
Icp Mississippi Aco Billing Llc96385785292
Columbia River Health85270260877
Columbia River Health85270260877

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. Mrs Stephanie L Green allows following entities to bill medicare on her behalf.
Entity NameForrest County General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295837631
PECOS PAC ID: 1052397767
Enrollment ID: O20040624001351
Entity NameIntegrated Care Professionals Of Mississippi, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861818726
PECOS PAC ID: 4880817519
Enrollment ID: O20140527000155
Entity NameFast Pace Mississippi Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447769559
PECOS PAC ID: 3678832029
Enrollment ID: O20180111000291
Entity NameIcp Mississippi Aco Billing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992389167
PECOS PAC ID: 9638578529
Enrollment ID: O20210526000555
Entity NameShc Medical Partners Of Mississippi Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720837396
PECOS PAC ID: 5991240202
Enrollment ID: O20240711000498
Entity NameAbode Care Partners Al Vb Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841003456
PECOS PAC ID: 1658403704
Enrollment ID: O20250402001693
Entity NameAbode Care Partners Ltc Vb, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992518591
PECOS PAC ID: 8325316516
Enrollment ID: O20250403001951

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. Mrs Stephanie L 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
Mrs Stephanie L Green, CFNP
Po Box 397,
Boardman, OR 97818-0397

Ph: (541) 481-7212		Mrs Stephanie L Green, CFNP
450 Tatone St,
Boardman, OR 97818-8076

Ph: (541) 481-7212

Reviews and Comments


Nurse Practitioner Nurses in Boardman, OR

Maria Eva Jaime Ramos,
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 450 Tatone St, Boardman, OR 97818
Phone: 503-481-7212    
Martha Cecilia Hurtado, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 450 Tatone St, Boardman, OR 97818
Phone: 541-481-7212    
Adrienne Hayford, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 450 Tatone St, Boardman, OR 97818
Phone: 541-481-7212    Fax: 541-481-2020
Jennifer Rebecca Schenk, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 450 Tatone St, Boardman, OR 97818
Phone: 541-481-7212    Fax: 541-481-2020

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.