SAMANTHA GREEN DNP, AGACNP-BC
NPI 1114684198
Nurse Practitioner - Acute Care in Warren, MI

Q: What is Samantha Green's NPI number?

The NPI number for Samantha Green is 1114684198. It was assigned to this individual provider in the NPPES registry on November 24, 2021.

Q: What is Samantha Green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Green was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 November 24, 2021PECOS EnrolledAccepts Medicare Assignment

11800 E 12 MILE RD, WARREN, MI 48093(586) 573-5000 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2023, Jan 19, 2022, Nov 24, 2021 (3 updates tracked since 2021).

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About Samantha Green Dnp, Agacnp-bc NPPES

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

SAMANTHA GREEN DNP, AGACNP-BC (NPI 1114684198) is an individual acute care provider in Warren, Michigan, licensed in Michigan (4704307160) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1114684198

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameSAMANTHA GREENCredential: DNP, AGACNP-BC

Location Address11800 E 12 MILE RDWarren, MI 48093-3472

Mailing Address11800 E 12 Mile RdWarren, MI 48093-3472

Phone(586) 573-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateNovember 24, 2021

Last NPPES UpdateJune 13, 20233 updates tracked since enumeration

NPPES CertifiedJune 13, 2023

✔ NPI 1114684198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in MI · 4704307160

Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License 4704307160 (MI)

11800 E 12 MILE RD, Warren, MI 48093

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

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

Samantha Green Dnp, Agacnp-bc 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 ID2769840156

PECOS Enrollment IDI20230616000296

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.

Hospital Affiliations CMS Care Compare

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

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230053

Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48093 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

Most-billed visit code 99214

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.

DR. MICHEAL BUGGIA M.D.

Emergency Medicine