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

Rebecca A Green, NP-C

Individual provider Family Nurse Practitioner · NPI 1366942450

Rebecca A Green, NP-C is a Nurse Practitioner in Springfield, Illinois. Qualified in 2017, 9 years ago. Practices with Board of Trustees of Southern Illinois University, a 142-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2018
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

319 E Madison St Ste 1F
Springfield, IL 62701-3118
Phone: (217) 545-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 520 N 4th St, Springfield, IL 62702-5238 — (217) 545-8000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209-017149 (IL)

Record details

NPI number1366942450
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorYes
NPI enumeratedFebruary 15, 2018
Last updated in NPPESFebruary 9, 2023
Certification dateFebruary 9, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Board Of Trustees Of Southern Illinois University — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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