1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Nurse Practitioner
  6. NPI Profile

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: August 02, 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 and is a graduate of Other (2024).

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
Medical School CMSOtherGraduated 2024
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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID648772079
PECOS Enrollment IDI20250905001264
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 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.

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 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.