BIANCA GREEN NP
NPI 1154872190
Nurse Practitioner - Family in Clarkston, MI

Active since October 14, 2016PECOS Enrolled
5701 BOW POINTE DR, CLARKSTON, MI 48346(248) 625-2621(248) 625-2621 Get Directions Write a Review

NPPES record last updated: December 12, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2017, Oct 14, 2016 (2 updates tracked since 2016).

About Bianca Green Np NPPES

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

BIANCA GREEN NP (NPI 1154872190) is an individual family provider in Clarkston, Michigan, licensed in Michigan (4704292920) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154872190
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBIANCA GREENCredential: NP
Location Address5701 BOW POINTE DRClarkston, MI 48346-3198
Mailing Address2561 Elizabeth Lake RdWaterford, MI 48328-3313 · (248) 682-3300 · Fax (248) 682-0026
Fax(248) 625-2621
Sole ProprietorNo
Enumeration DateOctober 14, 2016
Last NPPES UpdateDecember 12, 20172 updates tracked since enumeration
NPI 1154872190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MI · 4704292920
5701 BOW POINTE DR, Clarkston, MI 48346

Other Names 1

Former Name (1)Bianca Zdenek

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Bianca Green Np 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 48346 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.

Otolaryngology
5701 BOW POINTE DR, SUITE 200
CLARKSTON, MI 48346
Dermatology
5701 BOW POINTE DR, SUITE 215
CLARKSTON, MI 48346
Otolaryngology
5701 BOW POINTE DR, SUITE 200
CLARKSTON, MI 48346
Family Medicine
5701 BOW POINTE DR, SUITE 100
CLARKSTON, MI 48346
Nurse Practitioner (Psychiatric/Mental Health)
5701 BOW POINTE DR, SUITE 225
CLARKSTON, MI 48346
Internal Medicine (Pulmonary Disease)
5701 BOW POINTE DR, STE 365
CLARKSTON, MI 48346
Internal Medicine
5701 BOW POINTE DR, SUITE 120
CLARKSTON, MI 48346
Internal Medicine (Gastroenterology)
5701 BOW POINTE DR, SUITE 370
CLARKSTON, MI 48346

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 Bianca Green's NPI number?

The NPI number for Bianca Green is 1154872190. It was assigned to this individual provider in the NPPES registry on October 14, 2016. The provider is also known as Bianca Zdenek.

Where is Bianca Green located?

Bianca Green practices at 5701 Bow Pointe Dr, Clarkston, MI 48346. The listed phone number is (248) 625-2621.

What is Bianca Green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Bianca Green enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Bianca Green was last updated on December 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.