Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 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

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients205
Services billed 336 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Planned Parenthood of the North Country New York, Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 11 clinicians in the practice; 9 are shown here.

Other providers in Watertown