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

Miss. Nicole A Green, NP

Individual provider Registered Nurse · NPI 1013268929

Miss. Nicole A Green, NP is a Nurse Practitioner in Valparaiso, Indiana. Qualified in 2012, 14 years ago. Practices with Community Care Network Inc, a 374-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
14
Licensed in
IN
In the registry since
2012
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

3800 St Mary Dr Ste 103
Valparaiso, IN 46383-7502
Phone: (219) 464-2123
Fax: (219) 465-0032
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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 71004197A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28171988A (IN)

Record details

NPI number1013268929
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 2, 2012
Last updated in NPPESJanuary 31, 2013

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Community Care Network Inc — 374 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Valparaiso