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

Individual provider Family Nurse Practitioner · NPI 1144950775

Kristina Diane Green, APRN, FNP-C is a Nurse Practitioner in Prescott, Arizona. Qualified in 2022, 4 years ago. Practices with Ponderosa Heart House Call, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama, Arizona, Colorado and Florida and 5 more.

Years since qualifying
4
Licensed in
AL, AZ, CO, FL, HI, NM
In the registry since
2022
Specialties on file
9
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

3623 Crossings Dr Ste 206
Prescott, AZ 86305-7101
Phone: (866) 849-0692
Fax: (888) 973-8821
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10153 E Kilarea Ave, Mesa, AZ 85209-1262 — (480) 745-5334

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 276254 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN11048730 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 3-003173 (AL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 10062237 (OR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 90332 (NM)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence C-APN.0107080-C-NP (CO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN-6002 (HI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 1243184 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 14295926-4405 (UT)

Record details

NPI number1144950775
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , FNP-C
Sole proprietorYes
NPI enumeratedJune 15, 2022
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

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 Ponderosa Heart House Call — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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