LISA W GREEN CRNA
NPI 1003170754
Nurse Anesthetist, Certified Registered in Johnson City, TN

Q: What is Lisa Green's NPI number?

The NPI number for Lisa Green is 1003170754. It was assigned to this individual provider in the NPPES registry on June 27, 2012.

Q: What is Lisa Green's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Green was last updated on May 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 27, 2012Accepts Medicare Assignment

1009 LARK ST, SUITE 2, JOHNSON CITY, TN 37604(423) 283-0776(423) 283-0549 Get Directions Write a Review

NPPES record last updated: May 16, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lisa W Green Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA W GREEN CRNA (NPI 1003170754) is an individual nurse anesthetist, certified registered in Johnson City, Tennessee, licensed in Tennessee (APN0000016679) and active in the NPI registry since June 2012. She is affiliated with Middlesboro Arh Hospital and is a graduate of Other (2011).

NPPES Registry Identity

NPI1003170754

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameLISA W GREENCredential: CRNA

Location Address1009 LARK ST, SUITE 2Johnson City, TN 37604-8217

Mailing AddressPo Box 3727Johnson City, TN 37602-3727 · (423) 283-0776 · Fax (423) 283-0549

Phone(423) 283-0776

Fax(423) 283-0549

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJune 27, 2012

Last NPPES UpdateMay 16, 2014

✔ NPI 1003170754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in TN · APN0000016679

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1009 LARK ST, Johnson City, TN 37604

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Other Identifiers 2

Medicare PIN103I430528TN

Medicaid1529853TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa W Green Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517115553

PECOS Enrollment IDI20190507000626

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Middlesboro Arh Hospital

Acute Care Hospitals · Middlesboro, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180020

Location3600 West Cumberland AvenueMiddlesboro, KY 40965 · Bell County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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