Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marcie Jo Greene, MSNFNP-BC

Individual provider Family Nurse Practitioner · NPI 1205370236

Marcie Jo Greene, MSNFNP-BC is a Nurse Practitioner in Los Angeles, California. Graduated from University of California, Geffen School of Medicine in 2016, 10 years ago. Practices with Vip Nephrology Inc, an 8-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Trained at
University of California, Geffen School of Medicine
Licensed in
CA
In the registry since
2016
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Practice location Address checks out

11301 Wilshire Blvd
Los Angeles, CA 90073-1003
Phone: (805) 683-1491
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 16133 Ventura Blvd Ste 360, Encino, CA 91436-2426 — (818) 986-6009
  • 1280 S Victoria Ave # 250, Ventura, CA 93003-6521 — (805) 351-0745

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95004841 (CA)

Record details

NPI number1205370236
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSNFNP-BC
Sole proprietorNo
NPI enumeratedDecember 9, 2016
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Vip Nephrology Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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