1. Home
  2. Directory
  3. California
  4. Sherman Oaks
  5. Nurse Practitioner
  6. NPI Profile

MR. CHARLES WESLEY GREEN III FNP-BC, FNP-C
NPI 1609604859
Nurse Practitioner - Family in Sherman Oaks, CA

Active since July 22, 2024PECOS Enrolled
4445 COLBATH AVE APT 107, SHERMAN OAKS, CA 91423(859) 620-4762 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Charles Wesley Green Iii Fnp-bc, Fnp-c NPPES

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

MR. CHARLES WESLEY GREEN III FNP-BC, FNP-C (NPI 1609604859) is an individual family provider in Sherman Oaks, California, licensed in California (784730) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609604859
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. CHARLES WESLEY GREEN IIICredential: FNP-BC, FNP-C
Location Address4445 COLBATH AVE APT 107Sherman Oaks, CA 91423-3523
Mailing Address4445 Colbath Ave Apt 107Sherman Oaks, CA 91423-3523 · (859) 620-4762
Phone(859) 620-4762
Sole ProprietorYes
Enumeration DateJuly 22, 2024
NPPES CertifiedJuly 21, 2024
✔ NPI 1609604859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 784730
4445 COLBATH AVE APT 107, Sherman Oaks, CA 91423
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Charles Wesley Green Iii Fnp-bc, Fnp-c 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.

Medicare Billing Reassignment

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

West Coast Wound And Skin Care Inc
6.2 mi
Surgery
2309 W VICTORY BLVD
Burbank, CA 91506
  • Reassigned Medicare billing, California enrollment
  • 50 clinicians in this Medicare group
NPI 1437675980 (818) 856-9535

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91423 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Charles Green's NPI number?

The NPI number for Charles Green is 1609604859. It was assigned to this individual provider in the NPPES registry on July 22, 2024.

Where is Charles Green located?

Charles Green practices at 4445 Colbath Ave Apt 107, Sherman Oaks, CA 91423. The listed phone number is (859) 620-4762.

What is Charles Green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Charles Green enrolled in Medicare?

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

Which organization bills Medicare for Charles Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Green reassigns Medicare benefits to West Coast Wound And Skin Care Inc (Burbank, CA). 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 Charles Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charles Green was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.