Individual ProviderAnnabelle GreeneNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address125 Hospital Dr, Spruce Pine, NC 28777-3035(828) 765-4201(803) 460-0339PECOS EnrollmentBased on the most recent information from CMS, provider Annabelle Greene is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1518762624Provider TypeIndividualFull NameGreene, AnnabelleGenderFemaleSole ProprietorNoEnumeration Date2/14/2025Last Updated8/11/2025Contact InformationPractice LocationPractice Address125 Hospital Dr, Spruce Pine, NC 28777-3035Phone(828) 765-4201FaxUnlisted FaxMailing LocationMailing Address185 Creed Pitman Rd, Spruce Pine, NC 28777-8666Phone(803) 460-0339FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense5022529North CarolinaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer