CASEY NICHOLE GREEN (PA-C) – Physician Assistant, NPI 1457703548

CASEY NICHOLE GREEN (PA-C) is a healthcare provider. based in Reed city, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601007872 (MI). The NPI Number for CASEY NICHOLE GREEN (PA-C) is 1457703548

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
CASEY NICHOLE GREEN (PA-C)
NPI
1457703548
Phone
(231) 832-7170
Address
300 N PATTERSON RD
Enumeration Date
13 July 2016
Last Update Date
2 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2315921360
Graduation Year
2016 (10 years ago)
PAC ID
6608163019
Group Practice PAC ID
8527044551
Professional Enrollment ID
I20160929000391
Address ID
MI496777506RE22018DRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

Provider Addresses for CASEY NICHOLE GREEN (PA-C)

  • 300 N PATTERSON RD

    REED CITY, MI 496778041

    Phone: (231) 832-7170

    Type: Location

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $654.

Total Amount is formed as General ($654) + Research ($0) + Ownership ($0) = $654.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: ABBVIE INC. ($124).

Total Amount

$654

General + Research + Ownership

Payments

34

Total payment records

General Amount

$654

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2016-09-29

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
I20160929000391IPhysician AssistantMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes15178$0
99213Established patient office or other outpatient visit, 20-29 minutes6956$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month3911$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2929$0
G0444Annual depression screening, 5 to 15 minutes2424$0
View full utilization report →

Insurance plans in this area (ZIP 49677)

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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: 8527044551View full group profile
NameSpecialtyState
Physician AssistantMI
-MI
Physician AssistantMI
Nurse PractitionerMI
Physician AssistantMI
Nurse PractitionerMI
Internal MedicineFL
-MI
Nurse PractitionerMI
-MI

Reviews

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Frequently asked questions

How do I look up CASEY NICHOLE GREEN (PA-C) by NPI?
Use NPI 1457703548 when you need to reference CASEY NICHOLE GREEN (PA-C) in forms, claims, or directories.
Is CASEY NICHOLE GREEN (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is CASEY NICHOLE GREEN (PA-C)?
The page reflects Physician Assistant for CASEY NICHOLE GREEN (PA-C). Clinical services aligned with this taxonomy classification.
What location shows for CASEY NICHOLE GREEN (PA-C)?
We surface Reed City, Michigan for CASEY NICHOLE GREEN (PA-C) based on available NPPES addresses.
How can I contact CASEY NICHOLE GREEN (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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