MRS. TERESA DESHAWN GREEN (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1295700425

MRS. TERESA DESHAWN GREEN (PHYSICIAN ASSISTANT) is a healthcare provider. based in Owasso, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIAN ASSISTANT. They hold a License No. C5-0000491 (DE). The NPI Number for MRS. TERESA DESHAWN GREEN (PHYSICIAN ASSISTANT) is 1295700425

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MRS. TERESA DESHAWN GREEN (PHYSICIAN ASSISTANT)
NPI
1295700425
Phone
(918) 293-2140
Address
8422 N 123rd East Ave
Enumeration Date
21 February 2006
Last Update Date
19 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9185872171
Graduation Year
2003 (23 years ago)
PAC ID
7810979614
Group Practice PAC ID
1951297621
Professional Enrollment ID
I20190926002825
Address ID
OK741065907TU1334XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience91
Completeness85
Years active:20State licenses:4Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

Provider Addresses for MRS. TERESA DESHAWN GREEN (PHYSICIAN ASSISTANT)

  • 8422 N 123rd East Ave

    Owasso, OK 740552130

    Phone: (918) 293-2140

    Fax: (918) 712-7164

    Type: Location

  • 2323 S HARVARD AVE

    TULSA, OK 741143301

    Phone: (918) 293-2140

    Fax: (918) 712-7164

    Type: Location

  • 1334 N Lansing Ave

    Tulsa, OK 741065907

    Phone: (918) 587-2171

    Type: Location

  • 1334 N LANSING AVE

    TULSA, OK 741065907

    Phone: (918) 587-2171

    Type: Location

  • 8422 N 123RD EAST AVE

    OWASSO, OK 740552130

    Phone: (918) 858-4353

    Fax: (668) 246-2942

    Type: Mailing

  • 2323, South Harvard Avenue, Florence Park South, Tulsa, Tulsa County, Oklahoma, 74114, United States

    TULSA, OK 741143301

    Phone: (918) 293-2140

    Fax: (918) 293-2195

    Type: Mailing

  • 1020, Forrest Avenue, Woodstock Court, Dover, Kent County, Delaware, 19904, United States

    SUITE 1

    DOVER, DE 19946

    Phone: (302) 730-1110

    Fax: (302) 734-1046

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 97 Open Payments records for all available years, with a total value of $2,539.

Total Amount is formed as General ($2,539) + Research ($0) + Ownership ($0) = $2,539.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($481).

Total Amount

$2,539

General + Research + Ownership

Payments

97

Total payment records

General Amount

$2,539

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2019-09-26

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141222002285IPhysician AssistantDCTBD
I20190926002825IPhysician AssistantOKTBD

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 minutes4322$0
96127Assessment of emotional or behavioral problems3418$0
90792Psychiatric diagnostic evaluation with medical services3330$0
99213Established patient office or other outpatient visit, 20-29 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 74055)

Loading plans...

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: 1951297621View full group profile
NameSpecialtyState
-OK
Family PracticeOK
Mental Health CounselorOK
Registered Dietitian Or Nutrition ProfessionalOK
P S Y C H I A T R YOK
Mental Health CounselorOK
Clinical Social WorkerOK
Family PracticeOK
Mental Health CounselorOK
Family PracticeNM

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does MRS. TERESA DESHAWN GREEN (PHYSICIAN ASSISTANT) have a public NPI I can cite?
Public records show MRS. TERESA DESHAWN GREEN (PHYSICIAN ASSISTANT) under NPI 1295700425.
Should I treat MRS. TERESA DESHAWN GREEN (PHYSICIAN ASSISTANT) as an active provider?
Patients and plans typically see MRS. TERESA DESHAWN GREEN (PHYSICIAN ASSISTANT) as active in the national extract.
Which specialty label fits MRS. TERESA DESHAWN GREEN (PHYSICIAN ASSISTANT)?
NPPES ties MRS. TERESA DESHAWN GREEN (PHYSICIAN ASSISTANT) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MRS. TERESA DESHAWN GREEN (PHYSICIAN ASSISTANT) tied to Owasso, Oklahoma?
If you are local to Owasso, Oklahoma, MRS. TERESA DESHAWN GREEN (PHYSICIAN ASSISTANT) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

Similar Providers

SARAH E KELLY (PA)

Physician Assistant
North Harvard Avenue, Apache Manor, Tulsa, Tulsa County, Oklahoma, United States
NPI: 1710979018

DEBORAH DEE HOLDER (P.A.-C)

Medical Physician Assistant
4115 REDDEN
NPI: 1093785321

MARILYN SUE TAYLOR (PA)

Physician Assistant
Box, Sequoyah County, Oklahoma, United States
NPI: 1063485316

DAVID STOLL (P.A.)

Physician Assistant
Bailey Medical Center, 10512, North 110th East Avenue, Owasso, Tulsa County, Oklahoma, 74055, United States
NPI: 1346214202

MRS. REBECCA L LYNCH (PA-C)

Physician Assistant
218, Chelsea Nicole Drive, Stewart Estates, Lyman, Spartanburg County, South Carolina, 29365, United States
NPI: 1710926886

DR. NICOLE MASON (PA-C)

Medical Physician Assistant
1025, South 6th Street, South Town, Springfield, Sangamon County, Illinois, 62703, United States
NPI: 1528173028

Unknown Individual

Physician Assistant
13616 E 103RD ST N
NPI: 1487774618

HEATH BRANDON WELTON (PAC)

Physician Assistant
East 103rd Street North, Owasso, Tulsa County, Oklahoma, 74055, United States
NPI: 1225262892

SEAN T PAQUETTE (PA-C)

Physician Assistant
18632 E CROOKED OAK DR
NPI: 1881824209