Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jeffery Green, M.D.

Family Medicine Physician in Fairmont, MN · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1215911904

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Registry record

Entity type Individual (Type 1)

Name Jeffery Green

Credential M.D.

Sex Male

Practice address 800 Medical Center Dr, Fairmont, MN, 56031

Phone (507) 238-8555

Enumeration date Dec 6, 2005

Last updated in NPPES Sep 17, 2020

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 42651 (MN) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
01-13052	Other	MN	MEDICA
150697	Medicaid	FM	-
007R5GR	Other	MN	BCBS
3153445	Medicaid	MN	-
398640300	Medicaid	MN	-
A037	Other	MN	CHAMPUS
MH9041024627	Other	MN	PPO
1053638	Other	MN	ARAZ
007R5GR	Other	MN	BCBS/MEDICARE SUPPLEMENT
007R5GR	Medicaid	MN	-
20227	Other	MN	SIOUX VALLEY
HP30910	Other	MN	HEALTH PARTNERS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Jeffery Green's NPI record?

Cross-check NPI 1215911904 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1215911904 active?

Yes, as of the latest NPPES snapshot, NPI 1215911904 is active (record last updated 2020-09-17).

Other providers at this practice address

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John Holstine Urology Physician · Fairmont, MN NPI 1205833746 Kelly Shantz Certified Registered Nurse Anesthetist · Fairmont, MN NPI 1477540995 Abraham Joseph Hospitalist Physician · Fairmont, MN NPI 1912981200 Perry Berhow Physician Assistant · Fairmont, MN NPI 1710961958 Anne Sheppard Registered Dietitian · Fairmont, MN NPI 1073597159 Samuel Meals Obstetrics & Gynecology Physician · Fairmont, MN NPI 1609850338 Timothy Bachenberg Family Medicine Physician · Fairmont, MN NPI 1093799603 Julie Borg Psychologist · Fairmont, MN NPI 1992789515

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-09-17.