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OTIS HOWARD GREEN III ARNP
NPI 1629561451
Nurse Practitioner - Family in Jacksonville, FL

Active since June 06, 2018PECOS EnrolledAccepts Medicare Assignment
77.37/100
CMS Quality Rating
1443 SAN MARCO BLVD STE 101, JACKSONVILLE, FL 32207(904) 253-6910(904) 253-6964 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 19, 2025, Jun 25, 2025, Dec 12, 2018 and 1 more (4 updates tracked since 2018).

About Otis Howard Green Iii Arnp NPPES

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

OTIS HOWARD GREEN III ARNP (NPI 1629561451) is an individual family provider in Jacksonville, Florida, licensed in Florida (9344018) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1629561451
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameOTIS HOWARD GREEN IIICredential: ARNP
Location Address1443 SAN MARCO BLVD STE 101Jacksonville, FL 32207-8535
Mailing Address1443 San Marco Blvd Ste 101Jacksonville, FL 32207-8535 · (904) 253-6910 · Fax (904) 253-6964
Phone(904) 253-6910
Fax(904) 253-6964
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 6, 2018
Last NPPES UpdateSeptember 19, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
✔ NPI 1629561451 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 FL · 9344018
1443 SAN MARCO BLVD STE 101, Jacksonville, FL 32207
Open in Google Maps ↗

Other Identifiers 1

OtherARNP9344018FL · Arnp License

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

Otis Howard Green Iii Arnp 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 ID5890046791
PECOS Enrollment IDI20180914001746
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 Reassignments

3

Medicare enrollment records show Otis Green reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Respiratory Critical Care And Sleep Medicine Associates,inc
Same address
Pulmonary Disease
1443 SAN MARCO BLVD STE 101
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 62 clinicians in this Medicare group
NPI 1386622629 (904) 253-6910
University Of Florida Jacksonville Physicians Inc
2.4 mi
Neurological Surgery
580 W 8TH ST, UFJP NEUROSURGERY
Jacksonville, FL 32209
  • Reassigned Medicare billing, Florida enrollment
  • Also billed through NPI 1144276452 (Florida), NPI 1487814752 (Florida)
  • 1,456 clinicians in this Medicare group
NPI 1225298599 (904) 244-3660
Lifebridge Community Pulmonology, LLC
685 mi
Pulmonary Disease
1838 GREENE TREE RD STE 350
Pikesville, MD 21208
  • Reassigned Medicare billing, Maryland enrollment
  • 10 clinicians in this Medicare group
NPI 1154741585 (410) 484-5686

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 11

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.

Nursing facility ventilation assistance and management 94004
Nursing facility ventilation assistance and management involves using special equipment to help patients breathe. Trained healthcare professionals monitor and adjust the equipment to ensure optimal breathing support. It's important for patients with respiratory difficulties or conditions.
327 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
233 services175 patients
Nursing facility ventilation assistance and management 94004
Nursing facility ventilation assistance and management involves using special equipment to help patients breathe. Trained healthcare professionals monitor and adjust the equipment to ensure optimal breathing support. It's important for patients with respiratory difficulties or conditions.
141 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
128 services110 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
123 services113 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
110 services110 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County
Emergency services Birthing friendly

Baptist Medical Center - Nassau

Acute Care Hospitals · Fernandina Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100140
Location1250 S 18th StFernandina Beach, FL 32034 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.92
Improvement Activities40
Cost51.46

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.

DR. JORGE LUIS ALVAREZ MD
Internal Medicine (Pulmonary Disease)
1443 SAN MARCO BLVD STE 101
JACKSONVILLE, FL 32207
Duval County (904) 253-6910
LORNA ANN KELSO APRN
Nurse Practitioner (Critical Care Medicine)
1443 SAN MARCO BLVD STE 101
JACKSONVILLE, FL 32207
Duval County (904) 253-6910
TENZIN NGAWANG AGACNP-BC
Nurse Practitioner (Acute Care)
1443 SAN MARCO BLVD STE 101
JACKSONVILLE, FL 32207
Duval County (904) 253-6910
BRIAN ROSS GARDNER APRN
Nurse Practitioner (Acute Care)
1443 SAN MARCO BLVD STE 101
JACKSONVILLE, FL 32207
Duval County (904) 253-6910
LINDSAY KAYE MOORE APRN
Nurse Practitioner (Acute Care)
1443 SAN MARCO BLVD STE 101
JACKSONVILLE, FL 32207
Duval County (904) 253-6910
DR. AMIT KUMAR BABBAR MD
Internal Medicine (Pulmonary Disease)
1443 SAN MARCO BLVD STE 101
JACKSONVILLE, FL 32207
Duval County (904) 253-6910
ALLISON LEE ROSS APRN
Nurse Practitioner
1443 SAN MARCO BLVD STE 101
JACKSONVILLE, FL 32207
Duval County (904) 253-6910
RESPIRATORY CRITICAL CARE AND SLEEP MEDICINE ASSOCIATES,INC
Internal Medicine (Pulmonary Disease)
1443 SAN MARCO BLVD STE 101
JACKSONVILLE, FL 32207
Duval County (904) 253-6910

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 Otis Green's NPI number?

The NPI number for Otis Green is 1629561451. It was assigned to this individual provider in the NPPES registry on June 6, 2018.

Where is Otis Green located?

Otis Green practices at 1443 San Marco Blvd Ste 101, Jacksonville, FL 32207. The listed phone number is (904) 253-6910.

What is Otis Green's specialty?

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

Is Otis Green enrolled in Medicare?

Yes. Otis 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 organizations bill Medicare for Otis Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Otis Green reassigns Medicare benefits to 3 organizations: Respiratory Critical Care And Sleep Medicine Associates,inc (Jacksonville, FL), University Of Florida Jacksonville Physicians Inc (Jacksonville, FL) and Lifebridge Community Pulmonology, LLC (Pikesville, MD). Each 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 Otis Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Otis Green affiliated with any hospitals?

According to CMS data, Otis Green is affiliated with Baptist Health Medical Center - Jacksonville, Baptist Medical Center Beaches and Baptist Medical Center - Nassau.

When was this NPI record last updated?

The NPPES record for Otis Green was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.