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ALEX JONATHAN GREEN CAA
NPI 1417610270
Anesthesiologist Assistant in Green Bay, WI

Active since October 19, 2021Accepts Medicare Assignment
744 S WEBSTER AVE, GREEN BAY, WI 54301(920) 433-3605(920) 433-3589 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alex Jonathan Green Caa NPPES

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

ALEX JONATHAN GREEN CAA (NPI 1417610270) is an individual anesthesiologist assistant in Green Bay, Wisconsin, licensed in Wisconsin (197-17) and active in the NPI registry since October 2021. He is affiliated with Bellin Memorial Hospital and is a graduate of Other (2021).

NPPES Registry Identity

NPI1417610270
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameALEX JONATHAN GREENCredential: CAA
Location Address744 S WEBSTER AVEGreen Bay, WI 54301-3505
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7222 · Fax (920) 445-7289
Phone(920) 433-3605
Fax(920) 433-3589
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 19, 2021
NPPES CertifiedOctober 19, 2021
✔ NPI 1417610270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in WI · 197-17
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.
744 S WEBSTER AVE, Green Bay, WI 54301
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Other Identifiers 1

Other32697960National Commission Certification Anesthesia Assts

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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

Alex Jonathan Green Caa 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 ID2163810912
PECOS Enrollment IDI20211027001150

Medicare Billing Reassignments

3

Medicare enrollment records show Alex Green reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bellin Memorial Hospital Inc
Same address
Cardiovascular Disease
744 S WEBSTER AVE, 2ND FLOOR
Green Bay, WI 54301
  • Reassigned Medicare billing, Wisconsin enrollment
  • 875 clinicians in this Medicare group
NPI 1467771535 (920) 433-3640
Bellin Anesthesia Associates, S.C.
Same address
Pain Medicine
744 S WEBSTER AVE
Green Bay, WI 54301
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Bellin Anesthesia Associates Sc
  • 61 clinicians in this Medicare group
NPI 1558318410 (920) 433-3500
Oconto Hospital & Medical Center Inc
24 mi
Rural Health
575 4TH ST
Kewaunee, WI 54216
  • Reassigned Medicare billing, Wisconsin enrollment
  • 573 clinicians in this Medicare group
NPI 1053279091 (920) 388-4640

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 2

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.

Anesthesia for procedure to assess heart electrical activity 00537
Anesthesia for a procedure to assess heart electrical activity helps ensure comfort and relaxation. It involves administering medication that either numbs a specific area or makes you sleep temporarily. This allows doctors to safely examine your heart's electrical signals without causing discomfort.
21 services21 patients
Anesthesia for procedure to correct abnormal heart rhythm 00410
Anesthesia for a procedure to correct abnormal heart rhythm ensures you won't feel pain during the treatment. It can be general, where you're completely asleep, or local, numbing only a specific area. Your vital signs are monitored to ensure safety during the procedure.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520049
Location744 S Webster AveGreen Bay, WI 54305 · Brown County
Emergency services Birthing friendly

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.

TAMMY ANN MOTQUIN
Nurse Practitioner (Family)
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 445-7226
DR. PAMELA RANI SUD MD
Internal Medicine (Pulmonary Disease)
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-7451
CALEY PETERS RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 431-5696
YONGSUB CHOI
Internal Medicine
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-3500
CORINNE ELIZABETH GEORGE APNP
Nurse Practitioner (Neonatal)
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-3500
STEVEN THANH HO CAA
Anesthesiologist Assistant
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-3605
JAMIE LYNN MOSUPYE O.T.
Occupational Therapist
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-7823
MIRANDA MARIE HINTZ APNP
Nurse Practitioner
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-7457

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 Alex Green's NPI number?

The NPI number for Alex Green is 1417610270. It was assigned to this individual provider in the NPPES registry on October 19, 2021.

Where is Alex Green located?

Alex Green practices at 744 S Webster Ave, Green Bay, WI 54301. The listed phone number is (920) 433-3605.

What is Alex Green's specialty?

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

Is Alex Green enrolled in Medicare?

Yes. Alex 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 Alex Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alex Green reassigns Medicare benefits to 3 organizations: Bellin Memorial Hospital Inc (Green Bay, WI), Bellin Anesthesia Associates, S.C. (Green Bay, WI) and Oconto Hospital & Medical Center Inc (Kewaunee, WI). 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 Alex Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alex Green accept?

Health plans from CareSource (Common Ground Healthcare) list Alex 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 Alex Green affiliated with any hospitals?

According to CMS data, Alex Green is affiliated with Bellin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Alex Green was last updated on October 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.