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TASHE CLARICE GREEN FNP- C
NPI 1255042396
Family Medicine in Wimauma, FL

Active since December 09, 2022PECOS EnrolledAccepts Medicare Assignment
17344 WHITE MANGROVE DR, WIMAUMA, FL 33598(727) 688-0795 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tashe Clarice Green Fnp- C NPPES

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

TASHE CLARICE GREEN FNP- C (NPI 1255042396) is an individual family medicine provider in Wimauma, Florida, licensed in Florida (11023231) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1255042396
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTASHE CLARICE GREENCredential: FNP- C
Location Address17344 WHITE MANGROVE DRWimauma, FL 33598-2402
Mailing Address8424 4th St N Ste KSt Petersburg, FL 33702-3614 · (727) 688-0795
Phone(727) 688-0795
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 9, 2022
Last NPPES UpdateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
✔ NPI 1255042396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · 11023231
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedRegistered NurseTaxonomy 163W00000X · License 11023231 (FL)
17344 WHITE MANGROVE DR, Wimauma, FL 33598
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Other Names 1

Professional Name (2)Tashe Green Fnp-c

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

Tashe Clarice Green Fnp- C 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 ID2163873845
PECOS Enrollment IDI20240106000408
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 Tashe Green reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Quantum Practitioner Services LLC
14 mi
Family
6547 KENAVA LOOP
Palmetto, FL 34221
  • Reassigned Medicare billing, Florida enrollment
  • 40 clinicians in this Medicare group
NPI 1194426197 (941) 285-9062

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 33598 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 Tashe Green's NPI number?

The NPI number for Tashe Green is 1255042396. It was assigned to this individual provider in the NPPES registry on December 9, 2022. The provider is also known as Tashe Green Fnp-C.

Where is Tashe Green located?

Tashe Green practices at 17344 White Mangrove Dr, Wimauma, FL 33598. The listed phone number is (727) 688-0795.

What is Tashe Green's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tashe Green enrolled in Medicare?

Yes. Tashe 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 organization bills Medicare for Tashe Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tashe Green reassigns Medicare benefits to Quantum Practitioner Services LLC (Palmetto, FL). 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 Tashe 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 Tashe Green was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.