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

Heather L Green, NP

Individual provider Adult Health Nurse Practitioner · NPI 1205127156

Heather L Green, NP is a Nurse Practitioner in Syracuse, New York. Graduated from University of Rochester School of Medicine and Dentistry in 2011, 15 years ago. Practices with Crouse Medical Practice PLLC, a 189-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
15
Trained at
University of Rochester School of Medicine and Dentistry
Licensed in
NY
In the registry since
2011
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

739 Irving Ave Ste 450
Syracuse, NY 13210-1663
Phone: (315) 470-7364
Fax: (315) 766-1103
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F305686 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 591667 (NY)

Record details

NPI number1205127156
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 27, 2011
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduated 2011 (15 years in practice)
Group practice Crouse Medical Practice Pllc — 189 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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