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NICOLE E GREEN PA-C
NPI 1053873786
Physician Assistant - Medical in Bel Air, MD

Active since April 02, 2019PECOS EnrolledAccepts Medicare Assignment
500 UPPER CHESAPEAKE DR, BEL AIR, MD 21014(443) 643-1500(443) 643-1505 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 3, 2022, Mar 3, 2020, Jun 13, 2019 and 2 more (5 updates tracked since 2019).

About Nicole E Green Pa-c NPPES

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

NICOLE E GREEN PA-C (NPI 1053873786) is an individual medical provider in Bel Air, Maryland, licensed in Maryland (C0007198) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Umd Upper Chesapeake Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1053873786
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameNICOLE E GREENCredential: PA-C
Location Address500 UPPER CHESAPEAKE DRBel Air, MD 21014-4324
Mailing Address500 Upper Chesapeake DrBel Air, MD 21014-4324 · (443) 643-1500 · Fax (443) 643-1505
Phone(443) 643-1500
Fax(443) 643-1505
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 2, 2019
Last NPPES UpdateNovember 3, 20225 updates tracked since enumeration
NPPES CertifiedNovember 3, 2022
✔ NPI 1053873786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MD · C0007198
500 UPPER CHESAPEAKE DR, Bel Air, MD 21014
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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

Nicole E Green Pa-c 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 ID1557794138
PECOS Enrollment IDI20191212001966
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Umd Upper Chesapeake Medical Center

Acute Care Hospitals · Bel Air, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210049
Location500 Upper Chesapeake DriveBel Air, MD 21014 · Harford County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

UPPER CHESAPEAKE SURGICAL ASSOCIATES, LLC
Physician Assistant (Surgical)
500 UPPER CHESAPEAKE DR
BEL AIR, MD 21014
Harford County (443) 643-1199
ZAINAB GIWA FNP-C
Nurse Practitioner (Family)
500 UPPER CHESAPEAKE DR
BEL AIR, MD 21014
Harford County (904) 372-3943
NATALIYA MELNYK M.D
Internal Medicine (Hematology & Oncology)
500 UPPER CHESAPEAKE DR
BEL AIR, MD 21014
Harford County (443) 643-3010
UNIVERSITY OF MARYLAND PEDIATRIC ASSOCIATES, PA
Clinic/Center (Primary Care)
500 UPPER CHESAPEAKE DR
BEL AIR, MD 21014
Harford County (443) 643-1000
EMERGENCY MEDICINE ASSOCIATES, PA
Emergency Medicine
500 UPPER CHESAPEAKE DR
BEL AIR, MD 21014
Harford County (844) 474-4019
LAURA N GASKILL PA
Physician Assistant
500 UPPER CHESAPEAKE DR
BEL AIR, MD 21014
Harford County (443) 643-1000
DR. DHIRAJ GURUNG M.D.
Internal Medicine
500 UPPER CHESAPEAKE DR
BEL AIR, MD 21014
Harford County (443) 643-1000
LINDSEY OTTENHEIMER WHITLING CRNP
Nurse Practitioner (Family)
500 UPPER CHESAPEAKE DR
BEL AIR, MD 21014
Harford County (443) 643-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Green's NPI number?

The NPI number for Nicole Green is 1053873786. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Where is Nicole Green located?

Nicole Green practices at 500 Upper Chesapeake Dr, Bel Air, MD 21014. The listed phone number is (443) 643-1500.

What is Nicole Green's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Nicole Green enrolled in Medicare?

Yes. Nicole Green is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Nicole Green affiliated with any hospitals?

According to CMS data, Nicole Green is affiliated with Umd Upper Chesapeake Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Green was last updated on November 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.