TANYA RENITA GREEN PA
NPI 1245279405
Physician Assistant in Harris, NY

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment
68 HARRIS RD, HARRIS, NY 12742(845) 794-3300(845) 794-3240 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 25, 2025, Jul 4, 2024, May 20, 2022 and 2 more (5 updates tracked since 2018).

About Tanya Renita Green Pa NPPES

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

TANYA RENITA GREEN PA (NPI 1245279405) is an individual physician assistant in Harris, New York, licensed in Illinois (085002921) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Katherine Shaw Bethea Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1245279405
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTANYA RENITA GREENCredential: PA
Location Address68 HARRIS RDHarris, NY 12742-5030
Mailing Address403 E 1st StDixon, IL 61021-3116 · (815) 288-5531 · Fax (815) 285-5558
Fax(845) 794-3240
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 2002
Enumeration DateJune 5, 2006
Last NPPES UpdateMarch 25, 20255 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
NPI 1245279405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in IL · 085002921 Licensed in TX · PA06905
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
68 HARRIS RD, Harris, NY 12742

Secondary Practice Locations 4

Location 1403 E 1st StDixon, IL 61021 · Phone (815) 288-5531 · Fax (815) 285-5558
Location 22401 S 31st StTemple, TX 76508-5030 · Phone (254) 724-2111
Location 3707 E Main StMiddletown, NY 10940-2667 · Phone (845) 333-1000 · Fax (845) 333-2329
Location 41324 Lakeland Hills BlvdLakeland, FL 33805-4543 · Phone (863) 687-1201

Other Identifiers 1

Medicaid2921863-00FL

Accepted 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

Tanya Renita Green Pa 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 ID1052359668
PECOS Enrollment IDI20250919002417
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.

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
37 services37 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
24 services24 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
22 services22 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
22 services21 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
12 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Katherine Shaw Bethea Hospital

Acute Care Hospitals · Dixon, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140012
Location403 E 1st StDixon, IL 61021 · Lee County
Emergency services Birthing friendly

Aspirus Rhinelander Hospital

Acute Care Hospitals · Rhinelander, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520019
Location2251 North Shore DrRhinelander, WI 54501 · Oneida County
Emergency services Birthing friendly

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12742 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
Most-billed visit code 99213
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
68 HARRIS RD
HARRIS, NY 12742
Emergency Medicine
68 HARRIS RD
HARRIS, NY 12742

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 Tanya Green's NPI number?

The NPI number for Tanya Green is 1245279405. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Tanya Green located?

Tanya Green practices at 68 Harris Rd, Harris, NY 12742. The listed phone number is (845) 794-3300.

What is Tanya Green's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tanya Green enrolled in Medicare?

Yes. Tanya 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.

What insurance does Tanya Green accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Imperial Insurance Companies, Inc. and Oscar Insurance Company list Tanya 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 Tanya Green affiliated with any hospitals?

According to CMS data, Tanya Green is affiliated with Katherine Shaw Bethea Hospital, Aspirus Rhinelander Hospital and Aspirus Wausau Hospital.

When was this NPI record last updated?

The NPPES record for Tanya Green was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.