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

Stacy Jo Green, CRNP

Individual provider Nurse Practitioner · NPI 1437481074

Stacy Jo Green, CRNP is a Nurse Practitioner in Edinboro, Pennsylvania. Qualified in 2009, 17 years ago. Practices with Regional Health Services Inc, a 576-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
17
Licensed in
PA
In the registry since
2010
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

120 Washington Towne Blvd N
Edinboro, PA 16412-1254
Phone: (814) 877-7500
Fax: (814) 877-7510
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP010692 (PA)

Record details

NPI number1437481074
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedFebruary 8, 2010
Last updated in NPPESAugust 10, 2021
Certification dateAugust 10, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Regional Health Services Inc — 576 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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