KATHLEEN ROSE GREEN – Certified Registered Nurse Anesthetist, NPI 1225667330

KATHLEEN ROSE GREEN is a healthcare provider. based in Orlando, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. RN9378227 (FL). The NPI Number for KATHLEEN ROSE GREEN is 1225667330

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN ROSE GREEN
NPI
1225667330
Phone
(407) 303-5600
Address
601 E ROLLINS ST
Enumeration Date
2 April 2020
Last Update Date
10 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8135140230
Graduation Year
2020 (6 years ago)
PAC ID
0446674832
Group Practice PAC ID
8022239722
Professional Enrollment ID
I20200717001560
Address ID
FL336032618TA4703XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:6State licenses:2Digital endpointsOther names

5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

Provider Addresses for KATHLEEN ROSE GREEN

  • 601 E ROLLINS ST

    ORLANDO, FL 328031248

    Phone: (407) 303-5600

    Type: Location

  • 101 S EOLA DR UNIT 717

    ORLANDO, FL 328016609

    Phone: (321) 278-3446

    Type: Mailing

  • 1651 PALM AVE

    WINTER PARK, FL 327891648

    Phone: (321) 278-3446

    Type: Mailing

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 $117.

Total Amount is formed as General ($117) + Research ($0) + Ownership ($0) = $117.

Last reported payment date: 2024-02-28 • Largest payer in this snapshot: ABBVIE INC. ($117).

Total Amount

$117

General + Research + Ownership

Payments

1

Total payment records

General Amount

$117

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-28

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$117
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: 2020-07-17

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
I20200717001560ICertified 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1211$0
View full utilization report →

Insurance plans in this area (ZIP 32803)

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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: 8022239722View full group profile
NameSpecialtyState
-FL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

Can I verify KATHLEEN ROSE GREEN with an NPI only?
You can start verification with NPI 1225667330 for KATHLEEN ROSE GREEN, then check state licensing separately.
Is KATHLEEN ROSE GREEN listed as active for patients and plans?
The listing shows KATHLEEN ROSE GREEN as active in the NPI system.
What is KATHLEEN ROSE GREEN's primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for KATHLEEN ROSE GREEN here. Clinical services aligned with this taxonomy classification.
Does KATHLEEN ROSE GREEN list a practice location?
Patients near Orlando, Florida may find KATHLEEN ROSE GREEN in results; validate coverage separately.
Why does KATHLEEN ROSE GREEN have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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