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: October 04, 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
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

Other Identifiers 1

OtherARNP9344018FL · Arnp License

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

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 2

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

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 15

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

Internal Medicine (Pulmonary Disease)
1443 SAN MARCO BLVD STE 101
JACKSONVILLE, FL 32207
Nurse Practitioner (Critical Care Medicine)
1443 SAN MARCO BLVD STE 101
JACKSONVILLE, FL 32207
Nurse Practitioner (Acute Care)
1443 SAN MARCO BLVD STE 101
JACKSONVILLE, FL 32207
Nurse Practitioner (Acute Care)
1443 SAN MARCO BLVD STE 101
JACKSONVILLE, FL 32207
Nurse Practitioner (Acute Care)
1443 SAN MARCO BLVD STE 101
JACKSONVILLE, FL 32207
Internal Medicine (Pulmonary Disease)
1443 SAN MARCO BLVD STE 101
JACKSONVILLE, FL 32207
Nurse Practitioner (Acute Care)
1443 SAN MARCO BLVD STE 101
JACKSONVILLE, FL 32207
Nurse Practitioner (Critical Care Medicine)
1443 SAN MARCO BLVD STE 101
JACKSONVILLE, FL 32207

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.

What insurance does Otis Green accept?

Health plans from AvMed list Otis 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 Otis Green affiliated with any hospitals?

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

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 12 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.