MRS. KRISTEN M GREEN PA, RPT
NPI 1093891145
Physician Assistant - Medical in Sterling, VA

Active since October 31, 2006PECOS EnrolledAccepts Medicare Assignment
46200 POTOMAC RUN PLZ, STERLING, VA 20164(571) 313-5087 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 23, 2021, Jan 3, 2016 (2 updates tracked since 2016).

About Mrs. Kristen M Green Pa, Rpt NPPES

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

MRS. KRISTEN M GREEN PA, RPT (NPI 1093891145) is an individual medical provider in Sterling, Virginia, licensed in Virginia (0110-008276) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1093891145
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. KRISTEN M GREENCredential: PA, RPT
Location Address46200 POTOMAC RUN PLZSterling, VA 20164-6622
Mailing Address43950 Harbor Hills Ter Unit 202Leesburg, VA 20176-3441 · (518) 353-6120
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateOctober 31, 2006
Last NPPES UpdateJanuary 29, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2025
NPI 1093891145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in VA · 0110-008276 Licensed in NY · 005277
Also ListedSpecialistTaxonomy 174400000X · License 007860-1 (NY)
Also ListedPhysical Therapist · PediatricsTaxonomy 2251P0200X · License 007860-1 (NY)
46200 POTOMAC RUN PLZ, Sterling, VA 20164

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

Mrs. Kristen M Green Pa, Rpt 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 ID345136123
PECOS Enrollment IDI20220728002304, I20220802004160
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 2

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services11 patients

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
46200 POTOMAC RUN PLZ
STERLING, VA 20164
Family Medicine
46200 POTOMAC RUN PLZ
STERLING, VA 20164
Clinic/Center (Urgent Care)
46200 POTOMAC RUN PLZ
STERLING, VA 20164
Family Medicine
46200 POTOMAC RUN PLZ
STERLING, VA 20164
Physician Assistant (Medical)
46200 POTOMAC RUN PLZ
STERLING, VA 20164

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 Kristen Green's NPI number?

The NPI number for Kristen Green is 1093891145. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Kristen Green located?

Kristen Green practices at 46200 Potomac Run Plz, Sterling, VA 20164. The listed phone number is (571) 313-5087.

What is Kristen Green's specialty?

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

Is Kristen Green enrolled in Medicare?

Yes. Kristen 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.

When was this NPI record last updated?

The NPPES record for Kristen Green was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.