Question 1

What type of a medical provider is Nicole Marie Greene?

Accepted Answer

Nicole Marie Greene is a Nurse Practitioner (Gerontology).

Question 2

Where does Nicole Marie Greene practice medicine?

Accepted Answer

Nicole Marie Greene has the following practice address:450 S 900 E STE 100, SALT LAKE CITY, UT 84102-2983

Question 3

Does this provider have a license number?

Accepted Answer

Nicole Marie Greene has the following license number: License Number 8483463-4405 issued in Utah.

Question 4

Does Nicole Marie Greene accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Does Nicole Marie Greene have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is Nicole Marie Greene a member of any Medical Groups?

Accepted Answer

Nicole Marie Greene is affiliated with one medical group in the SALT LAKE CITY area, MMG LLC.

Question 7

Does Nicole Marie Greene participate in PECOS?

Accepted Answer

Yes, Nicole Marie Greene participates in PECOS.

Question 8

What phone number can I call to contact Nicole Marie Greene?

Accepted Answer

You can call the following number: (801)-456-2333

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Nicole Marie Greene.

Question 10

Is Nicole Marie Greene  affiliated with any hospitals?

Accepted Answer

The provider is affiliated with 4 hospitals, including:

Question 11

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 4 years ago (12/8/2021).

Taxonomy	State	Primary?
Nurse Practitioner (Gerontology) - Taxonomy Code 363LG0600X	UT	Y
Nurse Practitioner (Acute Care) - Taxonomy Code 363LA2100X	UT	N

Participates in PECOS:	YES
PECOS Individual Enrollment ID:	I20211203001881
PECOS Individual PAC ID:	6901296003
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	Yes
Eligible to order/refer Power Mobility Devices (PMD)	Yes

Nicole Marie Greene

Overview