ASHLEY GREEN (PA-C, RD, LD/N) – Physician Assistant, NPI 1205443728
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,232 PHYSICIAN ASSISTANT in FL
Provider Addresses for ASHLEY GREEN (PA-C, RD, LD/N)
1639 N Volusia Ave Ste B
Orange City, FL 327633843
Phone: (386) 777-2273
Type: Location
1277 SW BRIARWOOD DR
PORT SAINT LUCIE, FL 349862307
Phone: (772) 834-7342
Type: Mailing
3675 SIMONTON PL
LAKE MARY, FL 327466752
Phone: (772) 834-7342
Type: Mailing
1301 S INTERNATIONAL PKWY STE 1041
LAKE MARY, FL 327461410
Phone: (407) 732-7668
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $56.
Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.
Last reported payment date: 2024-09-23 • Largest payer in this snapshot: Lilly USA, LLC ($33).
Total Amount
$56
General + Research + Ownership
Payments
2
Total payment records
General Amount
$56
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $33 |
| Amgen Inc. | $23 |
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: 2021-03-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210326000451 | I | Physician Assistant | FL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32763)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Sports Medicine | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Internal Medicine | OK | |
| Physician Assistant | FL | |
| Family Practice | FL | |
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| Nurse Practitioner | KY |
Reviews
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