JULIE GREEN (PA-C) – Physician Assistant, NPI 1669434262
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JULIE GREEN (PA-C)
500 5TH ST
BROOKINGS, OR 974159702
Phone: (541) 412-2000
Fax: (541) 412-2080
Type: Mailing
San Angelo, Villa Residencial Santa Fe 3ra Sección, Pórticos de San Antonio, Municipio de Tijuana, Baja California, 22664, Mexico
SAN ANGELO, TX 769027200
Phone: (325) 658-1511
Fax: (325) 481-2166
Type: Mailing
120, East Beauregard Avenue, Downtown, San Angelo, Tom Green County, Texas, 76903, United States
SAN ANGELO, TX 769035919
Phone: (325) 658-1511
Fax: (325) 481-2166
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: 2023-04-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230412003232 | I | Physician Assistant | OR | 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 | 20 | 20 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 13 | 13 | $0 |
Insurance plans in this area (ZIP 97415)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Physical Therapist In Private Practice | TX | |
| - | TX | |
| - | OR | |
| - | TX | |
| G A S T R O E N T E R O L O G Y | TX | |
| A N E S T H E S I O L O G Y | TX | |
| - | TX | |
| - | TX | |
| O P H T H A L M O L O G Y | TX |
Reviews
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