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COURTNEY GREEN
NPI 1457993222
Physician Assistant in Odenton, MD

Active since October 14, 2019PECOS Enrolled
1130 ANNAPOLIS RD STE 100, ODENTON, MD 21113(757) 969-7591 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 22, 2020, Oct 14, 2019 (2 updates tracked since 2019).

About Courtney Green NPPES

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

COURTNEY GREEN (NPI 1457993222) is an individual physician assistant in Odenton, Maryland, licensed in Maryland (C0007676) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457993222
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCOURTNEY GREEN
Location Address1130 ANNAPOLIS RD STE 100Odenton, MD 21113-1622
Mailing Address8 Volunteer TrlPoquoson, VA 23662-1049
Phone(757) 969-7591
Sole ProprietorNo
Enumeration DateOctober 14, 2019
Last NPPES UpdateSeptember 22, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2020
✔ NPI 1457993222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MD · C0007676
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.
1130 ANNAPOLIS RD STE 100, Odenton, MD 21113
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Courtney Green is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21113 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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 6

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

DR. DANIEL EZIDIEGWU JR.
Physical Medicine & Rehabilitation
1130 ANNAPOLIS RD STE 100
ODENTON, MD 21113
Anne Arundel County (410) 672-2255
LIGAYA ANGHELA V NARBAY
Physician Assistant
1130 ANNAPOLIS RD STE 100
ODENTON, MD 21113
Anne Arundel County (410) 777-1881
ALEXANDRA LAURENCE PA-C
Physician Assistant
1130 ANNAPOLIS RD STE 100
ODENTON, MD 21113
Anne Arundel County (410) 672-2255
DONNA SARARA
Physician Assistant
1130 ANNAPOLIS RD STE 100
ODENTON, MD 21113
Anne Arundel County (410) 672-2255
MR. JOHN PAUL KELLEY JR. PA
Physician Assistant
1130 ANNAPOLIS RD STE 100
ODENTON, MD 21113
Anne Arundel County (410) 672-2255
DR. RAMON CHRISTOPHER VILLANUEVA GO M.D.
Anesthesiology
1130 ANNAPOLIS RD STE 100
ODENTON, MD 21113
Anne Arundel County (410) 672-2255

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 Courtney Green's NPI number?

The NPI number for Courtney Green is 1457993222. It was assigned to this individual provider in the NPPES registry on October 14, 2019.

Where is Courtney Green located?

Courtney Green practices at 1130 Annapolis Rd Ste 100, Odenton, MD 21113. The listed phone number is (757) 969-7591.

What is Courtney Green's specialty?

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

Is Courtney Green enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Courtney Green was last updated on September 22, 2020. 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.