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KWAISI-ANN GREEN
NPI 1164233136
Nurse Practitioner - Psychiatric/Mental Health in Philadelphia, PA

Active since January 17, 2025PECOS Enrolled
6823 OAKLEY ST, PHILADELPHIA, PA 19111(215) 758-5248 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kwaisi-ann Green NPPES

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

KWAISI-ANN GREEN (NPI 1164233136) is an individual psychiatric/mental health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP031289) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164233136
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKWAISI-ANN GREEN
Location Address6823 OAKLEY STPhiladelphia, PA 19111-3914
Mailing Address6823 Oakley StPhiladelphia, PA 19111-3914 · (215) 758-5248
Phone(215) 758-5248
Sole ProprietorYes
Enumeration DateJanuary 17, 2025
NPPES CertifiedJanuary 17, 2025
✔ NPI 1164233136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in PA · SP031289
6823 OAKLEY ST, Philadelphia, PA 19111
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kwaisi-ann 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.

Medicare Billing Reassignment

Medicare enrollment records show Kwaisi-ann Green reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jefferson University Physicians
8.0 mi
General Practice
33 S. 9TH STREET
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,739 clinicians in this Medicare group
NPI 1326093675 (215) 955-0000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19111 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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 Kwaisi-ann Green's NPI number?

The NPI number for Kwaisi-ann Green is 1164233136. It was assigned to this individual provider in the NPPES registry on January 17, 2025.

Where is Kwaisi-ann Green located?

Kwaisi-ann Green practices at 6823 Oakley St, Philadelphia, PA 19111. The listed phone number is (215) 758-5248.

What is Kwaisi-ann Green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kwaisi-ann Green enrolled in Medicare?

Yes. Kwaisi-ann Green is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kwaisi-ann Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kwaisi-ann Green reassigns Medicare benefits to Jefferson University Physicians (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kwaisi-ann Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kwaisi-ann Green was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.