Individual provider

Shellie Green

Family Nurse Practitioner Medicare enrolled

Shellie Green is a Family Nurse Practitioner in Watertown, NY, registered under NPI 1124636113.

Getting there

The practice address on file is 160 STONE ST, Watertown, NY 13601. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

160 STONE ST, Watertown, NY 13601 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
F346037-1 NY Family Nurse Practitioner primary

This provider holds licence F346037-1 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
1951729359

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Family covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1124636113 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 16, 2020
Last updatedJul 17, 2020
StatusActive
Sole proprietorNo
Practice address 160 STONE ST
Watertown, NY 13601
(585) 371-8373
Fax (315) 222-7435
Mailing address 2697 MAIN ST
Buffalo, NY 14214
The last update on file is Jul 17, 2020. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1124636113 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 2 4 6 3 6 1 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 4 4 3 3 3 1 2

Sum = 47 · next multiple of 10 = 50 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1124636113?
NPI 1124636113 is the National Provider Identifier assigned to Shellie Green in Watertown, NY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family cover?
Definition to come...
How do I contact Shellie Green?
The phone number on file with NPPES is (585) 371-8373, last updated Jul 17, 2020. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Shellie Green accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1124636113 a valid number?
Yes. 1124636113 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.