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MR. JAMES EDWARD GREEN AA, PA
NPI 1285747378
Anesthesiologist Assistant in Grand Rapids, MI

Active since August 16, 2006
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525(616) 364-4200(616) 364-7347 Get Directions Write a Review

NPPES record last updated: March 4, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. James Edward Green Aa, Pa NPPES

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

MR. JAMES EDWARD GREEN AA, PA (NPI 1285747378) is an individual anesthesiologist assistant in Grand Rapids, Michigan, licensed in Michigan (263) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1285747378
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameMR. JAMES EDWARD GREENCredential: AA, PA
Location Address3333 EVERGREEN DR NEGrand Rapids, MI 49525-9493
Mailing Address3333 Evergreen Dr NeGrand Rapids, MI 49525-9493 · (616) 364-4200 · Fax (616) 364-7347
Phone(616) 364-4200
Fax(616) 364-7347
Sole ProprietorNo
Enumeration DateAugust 16, 2006
Last NPPES UpdateMarch 4, 2013
✔ NPI 1285747378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in MI · 263
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
Also ListedPhysician AssistantTaxonomy 363A00000X · License 5601001816 (MI)
3333 EVERGREEN DR NE, Grand Rapids, MI 49525
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Other Identifiers 6

Medicare UPINS10828MI
Other1598712390MI · Group Npi
Medicare PIN0M94800044MI
Medicare PIND16094145MI
OtherM73860-008MI · Medicare
OtherP00343185MI · Railroad Medicare Pin

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. James Edward Green Aa, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show James Green reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

West Michigan Anesthesia, PC
Same address
Anesthesiology
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
  • Reassigned Medicare billing, Michigan enrollment
  • 46 clinicians in this Medicare group
NPI 1225016926 (616) 364-4200
Anesthesia Medical Consultants, PC
0.1 mi
Anesthesiology
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
  • Reassigned Medicare billing, Michigan enrollment
  • 117 clinicians in this Medicare group
NPI 1063710689 (616) 364-4200

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

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.

MR. JEFFREY RYAN HALL AA
Anesthesiologist Assistant
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-4200
MRS. LINDSAY E MCKELVEY CRNA
Nurse Anesthetist, Certified Registered
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-4200
DR. JEFFREY M RICKETTS DO
Anesthesiology
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-4200
MRS. HEATHER M MONTGOMERY-KANITZ CRNA
Nurse Anesthetist, Certified Registered
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-4200
DR. VIVIAN NNENNA ONYEWUCHE M.D.
Anesthesiology
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-4200
DR. ERIC LEE LARSON MD
Anesthesiology
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-4200
DR. ANNA MARIA UITVLUGT MD
Anesthesiology
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-4200
ANESTHESIA MEDICAL CONSULTANTS, PC
Anesthesiology
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-4200

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 James Green's NPI number?

The NPI number for James Green is 1285747378. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is James Green located?

James Green practices at 3333 Evergreen Dr NE, Grand Rapids, MI 49525. The listed phone number is (616) 364-4200.

What is James Green's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is James Green enrolled in Medicare?

Yes. James Green is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for James Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Green reassigns Medicare benefits to 2 organizations: West Michigan Anesthesia, PC (Grand Rapids, MI) and Anesthesia Medical Consultants, PC (Grand Rapids, MI). 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 James 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 James Green was last updated on March 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.