P Praxis·MD
● Active Type 1 · Individual

Mandy Green, NP-C

Nurse Practitioner·Tyler, TX· NPI 1811241292 · Enumerated 2012 · 13 years on NPI
Green is 1 of 147 nurse practitioner providers in Tyler and 1 of 5264 in Texas.
NPI age
13 years
Enumerated 2012-11-06
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-04-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5264 active nurse practitioner providers in Texas.

NPI age
13 years
↑ 5 yr above median (8 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-11Enumerated in NPPES
2012 2026

Where they practice

Practice location
910 E Houston St, Ste 230
Tyler, TX 757028369
📞 9035257300
Mailing address
Po Box 846098
Dallas, TX 752846098
📞 9033246400

Additional practice locations

1 secondary location on file with NPPES.

Location 2
910 E Houston St Ste 250
Tyler, TX 757028364
📞 9036067300

Specialties

  • Nurse Practitioner Primary
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    TX license #AP122656TX license #679662 taxonomy 363L00000X

Identifiers

TypeValueNotes
01 (TX) 679662 TEXAS BOARD OF NURSING

Practice context

Part of a multi-provider practice. 49 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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