LIZA M GREENE (PA-C) – Physician Assistant, NPI 1376684100

LIZA M GREENE (PA-C) is a healthcare provider. based in Grand haven, Michigan. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 5601007430 (MI). The NPI Number for LIZA M GREENE (PA-C) is 1376684100

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
LIZA M GREENE (PA-C)
NPI
1376684100
Phone
(616) 844-4528
Address
1310 WISCONSIN AVE
Enumeration Date
12 February 2007
Last Update Date
7 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6168423600
Graduation Year
2006 (20 years ago)
PAC ID
8123116597
Group Practice PAC ID
6204899172
Professional Enrollment ID
I20150811003926
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for LIZA M GREENE (PA-C)

  • 1310, Wisconsin Avenue, Grand Haven, Ottawa County, Michigan, 49417, United States

    SUITE 101

    GRAND HAVEN, MI 494172472

    Phone: (616) 844-4528

    Type: Mailing

  • 1091, South Beacon Boulevard, Grand Haven, Ottawa County, Michigan, 49417, United States

    GRAND HAVEN, MI 494172607

    Phone: (616) 604-0096

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 49417)

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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: 6204899172View full group profile
NameSpecialtyState
SUSAN E EADELMAN (NP)
-MI
KELLY PEREZ (PAC)
Physician AssistantMI
PETER TRAN NGUYEN (PA-C)
Physician AssistantMI
JACQUELINE STEWART (FNP)
Nurse PractitionerMI

Reviews

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Frequently asked questions

Can I verify LIZA M GREENE (PA-C) with an NPI only?
You can start verification with NPI 1376684100 for LIZA M GREENE (PA-C), then check state licensing separately.
Does CMS list LIZA M GREENE (PA-C) as active?
Yes — LIZA M GREENE (PA-C) is active in the NPI listing used on this page.
What is LIZA M GREENE (PA-C) best known for clinically?
Directory data describes LIZA M GREENE (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for LIZA M GREENE (PA-C)?
LIZA M GREENE (PA-C)'s geographic hint is Grand Haven, Michigan in our summary view.
Why does LIZA M GREENE (PA-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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