LYN GREEN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1013348903

LYN GREEN (CRNA) is a healthcare provider. based in Fairfield, California. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN52158 (NV). The NPI Number for LYN GREEN (CRNA) is 1013348903

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
LYN GREEN (CRNA)
NPI
1013348903
Phone
(707) 423-4522
Address
DAVID GRANT MEDICAL CENTER
Enumeration Date
3 December 2013
Last Update Date
28 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7074322700
Graduation Year
2014 (12 years ago)
PAC ID
2668756370
Group Practice PAC ID
6103270566
Professional Enrollment ID
I20170224000355
Address ID
CA945349778FA2700XCTXX301

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:12State licenses:3Other namesUpdated within 12 months

2,456 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CA

Provider Addresses for LYN GREEN (CRNA)

  • DAVID GRANT MEDICAL CENTER

    TRAVIS AIR FORCE BASE

    FAIRFIELD, CA 94535

    Phone: (707) 423-4522

    Type: Mailing

  • 207 FIESTA WAY

    VACAVILLE, CA 956889562

    Phone: (702) 481-0938

    Type: Mailing

  • 2700 LOW CT FL 2

    FAIRFIELD, CA 945349778

    Phone: (707) 432-2700

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $105.

Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.

Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Chiesi USA, Inc. ($105).

Total Amount

$105

General + Research + Ownership

Payments

1

Total payment records

General Amount

$105

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Chiesi USA, Inc.$105
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-02-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170224000355ICertified Registered Nurse Anesthetist (Crna)CATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery116111$0
01992Anesthesia for nerve block and injection procedure, prone position115101$0
01940Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance1312$0
00140Anesthesia for other procedure on eye1111$0
01939Anesthesia for nerve destruction procedures on spine or spinal cord of neck or upper back accessed through skin using imaging guidance1111$0
View full utilization report →

Insurance plans in this area (ZIP 94535)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103270566View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA

Reviews

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Frequently asked questions

Is LYN GREEN (CRNA) listed with a National Provider Identifier?
Yes — LYN GREEN (CRNA) has NPI 1013348903 on file in the registry.
Would LYN GREEN (CRNA) appear as active to a payer?
You can treat LYN GREEN (CRNA) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to LYN GREEN (CRNA)?
LYN GREEN (CRNA)'s specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where in California is LYN GREEN (CRNA) registered?
Use Fairfield, California as the headline location for LYN GREEN (CRNA) here.
Can I trust this NPI listing for LYN GREEN (CRNA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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