JOHN ADAM GREEN – Registered Nurse, NPI 1215511407

JOHN ADAM GREEN is a healthcare provider. based in Miami, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 9462851 (FL). The NPI Number for JOHN ADAM GREEN is 1215511407

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
JOHN ADAM GREEN
NPI
1215511407
Phone
(321) 720-4658
Address
13037 SW 95th Ave
Enumeration Date
12 May 2021
Last Update Date
15 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549395000
Graduation Year
2023 (3 years ago)
PAC ID
9032563887
Group Practice PAC ID
7416928536
Professional Enrollment ID
I20240327002468
Address ID
FL328062031OR83XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:5State licenses:3Digital endpointsOther names

5,360 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

Provider Addresses for JOHN ADAM GREEN

  • 13037 SW 95th Ave

    Miami, FL 331765728

    Phone: (321) 720-4658

    Type: Location

  • 13037 SW 95TH AVE

    MIAMI, FL 331765728

    Phone: (321) 720-4658

    Type: Mailing

  • 222 E RIDGE RD STE 204

    MCALLEN, TX 785031251

    Phone: (956) 632-6020

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-03-27

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
I20240327002468ICertified Registered Nurse Anesthetist (Crna)FLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33176)

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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: 7416928536View full group profile
NameSpecialtyState
-FL
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YMA
A N E S T H E S I O L O G YND
A N E S T H E S I O L O G YTX
Anesthesiology AssistantFL
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

What is the 10-digit NPI for JOHN ADAM GREEN?
JOHN ADAM GREEN — NPI 1215511407 — is the standard way to identify this listing.
Is JOHN ADAM GREEN listed as active for patients and plans?
The listing shows JOHN ADAM GREEN as active in the NPI system.
What healthcare role does JOHN ADAM GREEN hold?
Scheduling teams often label JOHN ADAM GREEN under Registered Nurse. Clinical services aligned with this taxonomy classification.
Does JOHN ADAM GREEN list a practice location?
Patients near Miami, Florida may find JOHN ADAM GREEN in results; validate coverage separately.
Is the information about JOHN ADAM GREEN up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."