Jessica McCall Green, NP
Nurse Practitioner, Psych/Mental Health in Indianapolis, IN. Individual provider (NPI-1).
NPI number1366091886
StatusActive
Last updated in NPPESJan 3, 2024
Details
- NPI
- 1366091886
- Entity type
- Individual (NPI-1)
- Name
- Jessica McCall Green
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2019
- Certification date
- Dec 11, 2023
- Last updated
- Jan 3, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 71014549A | IN | Yes |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 1-136749 | AL |
Practice location
950 N Meridian StIndianapolis, IN 46204-1077
Phone 317-963-2200 · Fax 317-963-1621
Mailing address
250 N Shadeland AveIndianapolis, IN 46219-4959
Other practice locations
1 Independence Plz Ste 720
Homewood, AL 35209-2655
Homewood, AL 35209-2655
Phone 205-924-3114
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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