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THOMAS JEFFERSON GREEN CRNA
NPI 1467535583
Nurse Anesthetist, Certified Registered in Henderson, NV

Active since October 23, 2006Accepts Medicare Assignment
129 W LAKE MEAD PKWY, B18, HENDERSON, NV 89015(702) 564-4440(702) 558-1522 Get Directions Write a Review

NPPES record last updated: December 17, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Thomas Jefferson Green Crna NPPES

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

THOMAS JEFFERSON GREEN CRNA (NPI 1467535583) is an individual nurse anesthetist, certified registered in Henderson, Nevada, licensed in Nevada (CRNA000309) and active in the NPI registry since October 2006. He is affiliated with Mountain West Medical Center and is a graduate of Other (2006).

NPPES Registry Identity

NPI1467535583
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameTHOMAS JEFFERSON GREENCredential: CRNA
Location Address129 W LAKE MEAD PKWY, B18Henderson, NV 89015-7055
Mailing Address129 W Lake Mead Pkwy, B18Henderson, NV 89015-7055 · (702) 564-4440 · Fax (702) 558-1522
Phone(702) 564-4440
Fax(702) 558-1522
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 23, 2006
Last NPPES UpdateDecember 17, 2007
✔ NPI 1467535583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in NV · CRNA000309
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
129 W LAKE MEAD PKWY, Henderson, NV 89015
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Other Identifiers 1

Medicare PIN103375NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.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

Thomas Jefferson Green Crna 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 ID6103828033
PECOS Enrollment IDI20090204000285

Medicare Billing Reassignment

Medicare enrollment records show Thomas Green reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Deseret Peak Anesthesia, LLC
345 mi
Nurse Anesthetist, Certified Registered
2055 N MAIN ST
Tooele, UT 84074
  • Reassigned Medicare billing, Utah enrollment
  • Medicare enrollment name: Desert Peak Anesthesia, LLC
  • 16 clinicians in this Medicare group
NPI 1518972280 (435) 843-3600

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 3

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 lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
23 services22 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
17 services17 patients
Anesthesia for other procedure on nose and sinuses 00160
Anesthesia for procedures on the nose and sinuses involves administering medication to block sensation, ensuring comfort during the procedure. It can be local (numbing a specific area) or general (you're asleep). This helps prevent pain and discomfort during the procedure.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Mountain West Medical Center

Acute Care Hospitals · Tooele, UT
OwnershipProprietary
CMS Certification Number460014
Location2055 North Main StreetTooele, UT 84074 · Tooele County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89015 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
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.

JAIME PARKE CRNA
Nurse Anesthetist, Certified Registered
129 W LAKE MEAD PKWY, SUITE B18
HENDERSON, NV 89015
Clark County (702) 564-4440
AKIMI S MCKNIGHT CRNA
Nurse Anesthetist, Certified Registered
129 W LAKE MEAD PKWY, B18
HENDERSON, NV 89015
Clark County (702) 564-4440
RAMAN S GREWAL MD
Anesthesiology
129 W LAKE MEAD PKWY, B-18
HENDERSON, NV 89015
Clark County (702) 564-4440
HANNA DEMARCO MD PROF CORP
Internal Medicine
129 W LAKE MEAD PKWY, SUITE 8
HENDERSON, NV 89015
Clark County (702) 436-7377
IVAN LLOYD BOAYES LAROGA PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
129 W LAKE MEAD PKWY
HENDERSON, NV 89015
Clark County (702) 285-8311
GABRIEL GARCIA MD
Anesthesiology
129 W LAKE MEAD PKWY, #B-18
HENDERSON, NV 89015
Clark County (702) 564-4440
STEPHEN BYBEE CRNA
Nurse Anesthetist, Certified Registered
129 W LAKE MEAD PKWY, SUITE B-19
HENDERSON, NV 89015
Clark County (702) 564-4440
MRS. DYE ANNE MAJORS PT
Physical Therapist
129 W LAKE MEAD PKWY, SUITE #2
HENDERSON, NV 89015
Clark County (702) 564-6712

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 Thomas Green's NPI number?

The NPI number for Thomas Green is 1467535583. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Thomas Green located?

Thomas Green practices at 129 W Lake Mead Pkwy B18, Henderson, NV 89015. The listed phone number is (702) 564-4440.

What is Thomas Green's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Thomas Green enrolled in Medicare?

Yes. Thomas 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 Thomas Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Green reassigns Medicare benefits to Deseret Peak Anesthesia, LLC (Tooele, UT). 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 Thomas Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Green accept?

Health plans from Select Health list Thomas 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 Thomas Green affiliated with any hospitals?

According to CMS data, Thomas Green is affiliated with Mountain West Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Green was last updated on December 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.