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INA GREEN PAC
NPI 1467699025
Physician Assistant in Del City, OK

Active since January 19, 2009PECOS Enrolled
4335 SE 15TH ST, DEL CITY, OK 73115(405) 600-9988(405) 600-9989 Get Directions Write a Review

NPPES record last updated: January 19, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ina Green Pac NPPES

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

INA GREEN PAC (NPI 1467699025) is an individual physician assistant in Del City, Oklahoma, licensed in Oklahoma (1010) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467699025
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameINA GREENCredential: PAC
Location Address4335 SE 15TH STDel City, OK 73115-3001
Mailing AddressPo Box 14587Oklahoma City, OK 73113-0587 · (405) 600-9988 · Fax (405) 600-9989
Phone(405) 600-9988
Fax(405) 600-9989
Sole ProprietorNo
Enumeration DateJanuary 19, 2009
✔ NPI 1467699025 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 OK · 1010
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.
4335 SE 15TH ST, Del City, OK 73115
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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)

Ina Green Pac 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 73115 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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

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

FASTCARE MEDICAL CLINIC OF DEL CITY
Family Medicine
4335 SE 15TH ST
DEL CITY, OK 73115
Oklahoma County (405) 600-9988

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 Ina Green's NPI number?

The NPI number for Ina Green is 1467699025. It was assigned to this individual provider in the NPPES registry on January 19, 2009.

Where is Ina Green located?

Ina Green practices at 4335 SE 15th St, Del City, OK 73115. The listed phone number is (405) 600-9988.

What is Ina Green's specialty?

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

Is Ina Green enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ina Green was last updated on January 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.