Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HANNAH GREEN
NPI 1104765049
Physician Assistant in Charlottesville, VA

Active since March 26, 2026PECOS Enrolled
1300 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 22903(434) 924-5078(434) 924-8118 Get Directions Write a Review

NPPES record last updated: November 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 6, 2026, Mar 26, 2026 (2 updates tracked since 2026).

About Hannah Green NPPES

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

HANNAH GREEN (NPI 1104765049) is an individual physician assistant in Charlottesville, Virginia, licensed in Virginia (0110012420) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104765049
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHANNAH GREEN
Location Address1300 JEFFERSON PARK AVECharlottesville, VA 22903-3363
Mailing AddressPo Box 749112Atlanta, GA 30374-9112
Fax(434) 924-8118
Sole ProprietorNo
Enumeration DateMarch 26, 2026
Last NPPES UpdateNovember 6, 20262 updates tracked since enumeration
NPPES CertifiedNovember 6, 2026
✔ NPI 1104765049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in VA · 0110012420
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1300 JEFFERSON PARK AVE, Charlottesville, VA 22903

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hannah Green is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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 20

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

Ophthalmology
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Ophthalmology
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Optometrist
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Ophthalmology
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Psychiatry & Neurology (Psychiatry)
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Transplant Surgery
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Dietitian, Registered
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Dietitian, Registered
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903

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 Hannah Green's NPI number?

The NPI number for Hannah Green is 1104765049. It was assigned to this individual provider in the NPPES registry on March 26, 2026.

Where is Hannah Green located?

Hannah Green practices at 1300 Jefferson Park Ave, Charlottesville, VA 22903. The listed phone number is (434) 924-5078.

What is Hannah Green's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Hannah Green enrolled in Medicare?

Yes. Hannah Green is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Hannah Green was last updated on November 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.