Jenifer Lyn Green, CNP
NPI 1619180064ActiveIndividual· Nurse Practitioner, Adult Health· Traverse City, MI
Nurse Practitioner, Adult Health (CNP) in Traverse City, Michigan, licensed in MI and IL, with an NPI issued in May 2007. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1619180064 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CNP |
| Sole proprietor | No |
| NPI issued | May 8, 2007 |
| Last updated in NPPES | Dec 18, 2020 |
| Certified by provider | Dec 18, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | 4704299051 | MI |
| Nurse Practitioner, Adult Health | 363LA2200X | A0307202 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MI) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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