DORA RENEE GREEN CRNA
NPI 1245217124
Nurse Anesthetist, Certified Registered in Port Matilda, PA
About Dora Renee Green Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DORA RENEE GREEN CRNA (NPI 1245217124) is an individual nurse anesthetist, certified registered in Port Matilda, Pennsylvania, licensed in Pennsylvania (RN264780) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Kings Daughters Medical Center Ohio, and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 8
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dora Renee Green Crna 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.
Medicare Billing Reassignments
8Medicare enrollment records show Dora Green reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Port Matilda, PA 16870
- Reassigned Medicare billing, Pennsylvania enrollment
- 4,429 clinicians in this Medicare group
Lock Haven, PA 17745
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,405 clinicians in this Medicare group
Leesburg, VA 20176
- Reassigned Medicare billing, Virginia enrollment
- 1,217 clinicians in this Medicare group
Ashland, KY 41101
- Reassigned Medicare billing, Ohio enrollment
- 177 clinicians in this Medicare group
Sandy Hook, KY 41171
- Reassigned Medicare billing, Kentucky enrollment
- 296 clinicians in this Medicare group
Batavia, OH 45103
- Reassigned Medicare billing, Ohio enrollment
- Medicare enrollment name: Southwest Ohio Anesthesia Consultants LLC
- 830 clinicians in this Medicare group
Cincinnati, OH 45212
- Reassigned Medicare billing, Ohio enrollment
- 22 clinicians in this Medicare group
Oak Ridge, TN 37830
- Reassigned Medicare billing, Tennessee enrollment
- 289 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kings Daughters Medical Center Ohio
Acute Care Hospitals · Portsmouth, OHMethodist Medical Center Of Oak Ridge
Acute Care Hospitals · Oak Ridge, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 16870 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
PORT MATILDA, PA 16870
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 Dora Green's NPI number?
The NPI number for Dora Green is 1245217124. It was assigned to this individual provider in the NPPES registry on December 30, 2005.
Where is Dora Green located?
Dora Green practices at 132 Abigail Ln, Port Matilda, PA 16870. The listed phone number is (814) 272-5011.
What is Dora Green's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Dora Green enrolled in Medicare?
Yes. Dora Green is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Dora Green's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dora Green reassigns Medicare benefits to 8 organizations: Geisinger Clinic (Port Matilda, PA), Geisinger-Hm Joint Venture, LLC (Lock Haven, PA), American Anesthesiology Of Virginia, PC (Leesburg, VA), Kings Daughters Medical Specialties Inc., (Ashland, KY), St. Claire Medical Center,inc (Sandy Hook, KY) and 3 more organizations, listed in the Medicare section above. Each 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 Dora Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dora Green accept?
Health plans from CareSource, Molina Healthcare and Paramount list Dora Green as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Dora Green affiliated with any hospitals?
According to CMS data, Dora Green is affiliated with Kings Daughters Medical Center Ohio and Methodist Medical Center Of Oak Ridge.
When was this NPI record last updated?
The NPPES record for Dora Green was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dora Renee Green, CRNA · NPI 1245217124
Nurse Anesthetist, Certified Registered physician in Port Matilda, Pennsylvania. Individual provider, active in the CMS NPPES registry since December 30, 2005.
## Identity
- **NPI:** 1245217124 (Entity type: Individual)
- **Enumerated:** December 30, 2005
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** RN264780 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 132 ABIGAIL LN, Port Matilda, PA 16870-7153
- **Phone:** (814) 272-5011 · **Fax:** (814) 272-6531
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Geisinger Clinic (NPI 1083874770, Port Matilda, PA); Geisinger-Hm Joint Venture, LLC (NPI 1427604222, Lock Haven, PA); American Anesthesiology Of Virginia, PC (NPI 1053675199, Leesburg, VA); Kings Daughters Medical Specialties Inc., (NPI 1528502200, Ashland, KY); St. Claire Medical Center,inc (NPI 1447212493, Sandy Hook, KY); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** March 9, 2026
- **Other identifiers:** Medicaid 2247661 (OH); Other 728022; Medicaid 74006495 (KY); and 5 more
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Source: [NPI Profile](https://npiprofile.com/npi/1245217124) · Data from the CMS NPPES public registry.