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Kourtney Green, FNP

NPI 1972910602ActiveIndividual· Nurse Practitioner· Fort Wayne, IN

Nurse Practitioner (FNP) with Extended Care Specialists, Inc and 6 other groups, practicing in Fort Wayne, Indiana. Their prescriptions cost Medicare Part D more than their services did: $215,902 for 3,839 claims, against $112,519 paid for services in 2024. Sumitomo Pharma America, Inc. reported $23.23 in payments in 2024, mostly food and beverage.

Overview

NPI1972910602
StatusActive
Entity typeIndividual
CredentialFNP
Sole proprietorNo
NPI issuedJul 15, 2014
Last updated in NPPESJul 16, 2020
Certified by providerJul 16, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000X71005675AIN
Nurse Practitioner363L00000X2013011851MO

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (IN); Practitioner - Nurse Practitioner (KY); Practitioner - Nurse Practitioner (MO); Practitioner - Nurse Practitioner (NC); Practitioner - Nurse Practitioner (OH); Practitioner - Nurse Practitioner (VA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients380
Services billed1,787 across 21 procedure codes
Paid by Medicare$112,519

Part D prescriptions in 2024

Prescriptions (claims)3,839 · 4,228 30-day fills
Patients231
Total drug cost$215,902
Generic share89% of claims

Medicare sources and data years

Education and affiliations

Graduation year2013
Medicare specialtyNurse Practitioner
TelehealthOffers telehealth

Medical groups

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2024$23.23 · 1 payment from 1 company

Top paying companies in 2024

CompanyAmountPayments
Sumitomo Pharma America, Inc.$23.231

What the 2024 payments were for

  • Food and Beverage$23.23 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Nurse Practitioner providers in Fort Wayne

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