AMANDA DONELLE GREEN NP
NPI 1700145760
Nurse Practitioner - Acute Care in San Antonio, TX

Q: What is Amanda Green's NPI number?

The NPI number for Amanda Green is 1700145760. It was assigned to this individual provider in the NPPES registry on May 11, 2012.

Q: What is Amanda Green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Green was last updated on October 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 11, 2012PECOS EnrolledAccepts Medicare Assignment

4330 MEDICAL DR STE 500, SAN ANTONIO, TX 78229(210) 732-3668(210) 732-3338 Get Directions Write a Review

NPPES record last updated: October 8, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 8, 2021, Apr 29, 2021, Jan 3, 2019 and 1 more (4 updates tracked since 2018).

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About Amanda Donelle Green Np NPPES

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

AMANDA DONELLE GREEN NP (NPI 1700145760) is an individual acute care provider in San Antonio, Texas, licensed in Texas (AP121232) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Antonio, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1700145760

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameAMANDA DONELLE GREENCredential: NP

Location Address4330 MEDICAL DR STE 500San Antonio, TX 78229-3318

Mailing Address4330 Medical Dr Ste 500San Antonio, TX 78229-3318 · (210) 732-3668 · Fax (210) 732-3338

Phone(210) 732-3668

Fax(210) 732-3338

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateMay 11, 2012

Last NPPES UpdateOctober 8, 20214 updates tracked since enumeration

NPPES CertifiedOctober 8, 2021

✔ NPI 1700145760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TX · AP121232

4330 MEDICAL DR STE 500, San Antonio, TX 78229

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Secondary Practice Location 1

Location 15107 Medical DrSan Antonio, TX 78229-4801 · Phone (210) 614-8612

Other Identifiers 1

Other723578-RNTX · Professional 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

Amanda Donelle Green Np 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 ID7517113889

PECOS Enrollment IDI20120802000366

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

Medicare enrollment records show Amanda Green reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellmed Networks, Inc.

0.2 mi

Cardiovascular Disease

7622 LOUIS PASTEUR, SUITE 100
San Antonio, TX 78229

Reassigned Medicare billing, Texas enrollment
233 clinicians in this Medicare group

NPI 1386948677 (210) 588-0122

Wellmed Medical Group, PA

1.6 mi

Internal Medicine

4438 CENTERVIEW
San Antonio, TX 78228

Reassigned Medicare billing, Texas enrollment
762 clinicians in this Medicare group

NPI 1437156486 (210) 280-0040

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.

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.

34 services19 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

16 services16 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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

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.

JOANNE KNIGHT D.O.

Family Medicine