AMANDA GREEN (PA-C) – Physician Assistant, NPI 1760083059
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,032 PHYSICIAN ASSISTANT in MN
Provider Addresses for AMANDA GREEN (PA-C)
10346 MISSISSIPPI BLVD NW
COON RAPIDS, MN 554334521
Phone: (763) 447-0411
Type: Mailing
30 RAILROAD AVE
ALBANY, MN 563079379
Phone: (320) 845-2157
Type: Location
341 WHITEVILLE RD NW
SHALLOTTE, NC 284704507
Phone: (877) 935-5255
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: 2026-01-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20220408002096 | I | Physician Assistant | MN | TBD |
| I20260102002000 | I | Physician Assistant | NC | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 91 | 74 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 68 | 54 | $0 |
| 71046 | X-ray of chest, 2 views | 38 | 17 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 24 | 24 | $0 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 16 | 16 | $0 |
Insurance plans in this area (ZIP 55433)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | NC | |
| Physician Assistant | NC | |
| Clinical Social Worker | NC | |
| Nurse Practitioner | NC | |
| Physician Assistant | NC | |
| Nurse Practitioner | NC | |
| Nurse Practitioner | NC | |
| - | NC | |
| Physician Assistant | NC | |
| Physician Assistant | NC |
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