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

Individual provider Family Nurse Practitioner · NPI 1952849770

Kendra Jane Green, FNP-C is a Nurse Practitioner in O Fallon, Illinois. Qualified in 2016, 10 years ago. Practices with Advanced Ankle and Foot Surgeons, LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2017
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

4905 Stone Falls Ctr Ste B
O Fallon, IL 62269-7802
Phone: (618) 277-0001
Fax: (618) 277-7339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209015569 (IL)

Record details

NPI number1952849770
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 1, 2017
Last updated in NPPESFebruary 17, 2023
Certification dateFebruary 17, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Advanced Ankle And Foot Surgeons, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in O Fallon