Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Chantel Marie Green, FNP

Individual provider Family Nurse Practitioner · NPI 1457075889

Chantel Marie Green, FNP is a Nurse Practitioner in Jefferson City, Missouri. Qualified in 2022, 4 years ago. Practices with Jefferson City Medical Group PC, a 117-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
4
Licensed in
MO
In the registry since
2022
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1241 W Stadium Blvd
Jefferson City, MO 65109-6023
Phone: (573) 635-5264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6117 Roling Rd, Jefferson City, MO 65101-8987 — (573) 680-2895

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2022037794 (MO)

Record details

NPI number1457075889
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedSeptember 29, 2022
Last updated in NPPESJune 28, 2023
Certification dateJune 28, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Jefferson City Medical Group Pc — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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