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

Shellie A Green

Individual provider Family Nurse Practitioner · NPI 1124636113

Shellie A Green is a Nurse Practitioner in Watertown, New York. Graduated from State University of Ny Upstate Medical University in 2020, 6 years ago. Practices with Planned Parenthood of the North Country New York, Inc, an 11-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Trained at
State University of Ny Upstate Medical University
Licensed in
NY
In the registry since
2020
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Practice location Address checks out

160 Stone St
Watertown, NY 13601-3250
Phone: (585) 371-8373
Fax: (315) 222-7435
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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 F346037-1 (NY)

Record details

NPI number1124636113
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 16, 2020
Last updated in NPPESJuly 17, 2020
Certification dateJuly 17, 2020
Mailing address2697 Main St, Buffalo, NY 14214-1701

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2020 (6 years in practice)
Group practice Planned Parenthood Of The North Country New York, Inc. — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Watertown