Kristal Jennell Green, APRN in Saint Petersburg, FL

Kristal Jennell Green, APRN is a medicare enrolled "Nurse Practitioner - Family" in Saint Petersburg, Florida. Her current practice location is 134 49th St S, Saint Petersburg, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 564-7414.

Kristal Jennell Green is licensed to practice in Florida (license number APRN11021473) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184168874.

Contact Information

	Kristal Jennell Green, APRN
	134 49th St S, Saint Petersburg, FL 33707-1924
	(727) 564-7414
	Not Available

Map and Direction

Provider's Profile

Full Name	Kristal Jennell Green
Gender	Female
Speciality	Nurse Practitioner - Family
Location	134 49th St S, Saint Petersburg, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184168874
Provider Enumeration Date: 12/14/2016
Last Update Date: 11/21/2023

Medicare PECOS Information:

PECOS PAC ID: 5597138818
Enrollment ID: I20230307000498

Medical Identifiers

Medical identifiers for Kristal Jennell Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184168874	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11021473 (Florida)	Primary

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. Kristal Jennell Green allows following entities to bill medicare on her behalf.

Entity Name	Vitae Health Of Florida Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013562024 PECOS PAC ID: 6204166762 Enrollment ID: O20190925003271

Entity Name	Mana Health Partners Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437925047 PECOS PAC ID: 3971952813 Enrollment ID: O20231218001517

Entity Name	Strategic Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316712771 PECOS PAC ID: 8820432693 Enrollment ID: O20240220002937

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. Kristal Jennell 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 Address	Practice Location Address
Kristal Jennell Green, APRN 4411 Cortez Way S, Saint Petersburg, FL 33712-4026 Ph: (727) 564-7414	Kristal Jennell Green, APRN 134 49th St S, Saint Petersburg, FL 33707-1924 Ph: (727) 564-7414

Reviews and Comments

Nurse Practitioner Nurses in Saint Petersburg, FL

Miss Whitnie Saron Padron, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5200 Seminole Blvd, Saint Petersburg, FL 33708 Phone: 727-392-3376 Fax: 727-897-5263
Melissa Anne Stanilka, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1839 Central Ave, Saint Petersburg, FL 33713 Phone: 727-322-1054 Fax: 727-821-7213
Barbara Simeon, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1839 Central Ave, Saint Petersburg, FL 33713 Phone: 727-458-6490
Mrs. Jill A Miller, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 Central Ave Ste 400, Saint Petersburg, FL 33701 Phone: 727-895-1300 Fax: 727-823-3494
Mrs. Megan Ann Gerage, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 7th Ave N, Saint Petersburg, FL 33705 Phone: 727-820-7737 Fax: 727-502-4040
Mrs. Dedee Ann Ley, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3554 1st Ave N, Saint Petersburg, FL 33713 Phone: 727-321-4846 Fax: 727-321-3811
Leslie Manias, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 777 62nd Ave N, Saint Petersburg, FL 33702 Phone: 352-219-3391

Kristal Jennell Green, APRN - Medicare Nurse Practitioner in Saint Petersburg, FL