MIRANDA NICOLE GREEN
NPI 1437023587
Physician Assistant in League City, TX

Q: What is Miranda Green's NPI number?

The NPI number for Miranda Green is 1437023587. It was assigned to this individual provider in the NPPES registry on October 1, 2025. The provider is also known as Miranda Johnson.

Q: What is Miranda Green's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Miranda Green was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since October 01, 2025PECOS EnrolledAccepts Medicare Assignment

2240 GULF FWY S, LEAGUE CITY, TX 77573(409) 747-5700 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Miranda Nicole Green NPPES

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

MIRANDA NICOLE GREEN (NPI 1437023587) is an individual physician assistant in League City, Texas and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, is affiliated with University Of Texas Medical Branch Galveston, and is a graduate of University Of Texas Medical Branch At Galveston (2025).

NPPES Registry Identity

NPI1437023587

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMIRANDA NICOLE GREEN

Location Address2240 GULF FWY SLeague City, TX 77573-5143

Mailing Address301 University BlvdGalveston, TX 77555-5303

Phone(409) 747-5700

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2025

Enumeration DateOctober 1, 2025

NPPES CertifiedSeptember 29, 2025

✔ NPI 1437023587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

2240 GULF FWY S, League City, TX 77573

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Other Names 1

Former Name (1)Miranda Johnson

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

Miranda Nicole Green 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 ID6305339904

PECOS Enrollment IDI20251202003887

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.

Hospital Affiliations CMS Care Compare

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

University Of Texas Medical Branch Galveston

Acute Care Hospitals · Galveston, TX

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number450018

Location301 University BoulevardGalveston, TX 77555 · Galveston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77573 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

$88.24 typical visit price

range $57.19 – $173.07

Typical copayment $22.06 (range $14.29 – $43.26)

Most-billed visit code 99203

Established Patient

$71.32 typical visit price

range $18.45 – $141.36

Typical copayment $17.83 (range $4.61 – $35.34)

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 20

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

KELLY D CARMICHAEL M.D.

Orthopaedic Surgery (Pediatric Orthopaedic Surgery)