Nicole Marie Greene, APRN - Medicare Nurse Practitioner in Draper, UT

  1. Home
  2. Nurse Practitioner
  3. UT
  4. Draper
Nicole Marie Greene, APRN is a medicare enrolled "Nurse Practitioner - Gerontology" in Draper, Utah. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mmg Llc and her current practice location is 12921 S Vista Station Blvd, Draper, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 354-9746.

Nicole Marie Greene is licensed to practice in Utah (license number 8483463-4405) 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 1538830989.

Contact Information

Nicole Marie Greene, APRN
12921 S Vista Station Blvd,
Draper, UT 84020-2376
(435) 354-9746
Not Available

Map and Direction




Provider's Profile

Full NameNicole Marie Greene
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location12921 S Vista Station Blvd, Draper, Utah
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:
  • Nicole Marie Greene graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1538830989
  • Provider Enumeration Date: 09/24/2021
  • Last Update Date: 08/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6901296003
  • Enrollment ID: I20211203001881

Medical Identifiers

Medical identifiers for Nicole Marie Greene such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538830989NPI-NPPES
8483463-4405OtherUTAPRN LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 8483463-4405 (Utah)Secondary
363LG0600XNurse Practitioner - Gerontology 8483463-4405 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Canyon Home CareSalt lake city, UTHome health agency
Health Watch Provo, IncOrem, UTHome health agency
Renew Home Health IncBountiful, UTHome health agency
Canyon HospiceSalt lake city, UTHospice
Renew HospiceLogan, UTHospice

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mmg Llc599103948910

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. Nicole Marie Greene allows following entities to bill medicare on her behalf.
Entity NameMmg Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295392645
PECOS PAC ID: 5991039489
Enrollment ID: O20190703001917

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. Nicole Marie Greene 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
Nicole Marie Greene, APRN
458 W Blazer Ln,
Stansbury Park, UT 84074-1290

Ph: (435) 840-8918		Nicole Marie Greene, APRN
12921 S Vista Station Blvd,
Draper, UT 84020-2376

Ph: (435) 354-9746

Reviews and Comments


Nurse Practitioner Nurses in Draper, UT

Catherine Schultz, DNP, MN, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 131 E 12300 S Ste R400, Draper, UT 84020
Phone: 385-287-1877    
Angela Rosa, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 656 E 11400 S Ste N, Draper, UT 84020
Phone: 801-849-1604    
Lehai Lily Austin, WHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 11724 S State St, Draper, UT 84020
Phone: 801-576-2050    
Paige Hess, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 12276 S 1300 E, Draper, UT 84020
Phone: 801-572-7835    
Carlie Jo Hamilton, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 12272 S 800 E, Suite A, Draper, UT 84020
Phone: 801-523-1300    Fax: 801-523-1301
Tracy Lynn Hanson, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 74 E Kimballs Ln Ste 260, Draper, UT 84020
Phone: 801-545-8480    
Tumu Jeremy Asuao,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 12176 S 1000 E Ste 4, Draper, UT 84020
Phone: 800-640-3451    

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.