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MR. WILLIAM RAYMOND GREEN III
NPI 1710735857
Nurse Practitioner - Family in Roseville, CA

Active since May 13, 2024PECOS Enrolled
7 MEDICAL PLAZA DR STE 250, ROSEVILLE, CA 95661(916) 773-8711(916) 755-7055 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2026, Sep 21, 2024, May 13, 2024 (3 updates tracked since 2024).

About Mr. William Raymond Green Iii NPPES

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

MR. WILLIAM RAYMOND GREEN III (NPI 1710735857) is an individual family provider in Roseville, California, licensed in California (95029487) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Visalia.

NPPES Registry Identity

NPI1710735857
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. WILLIAM RAYMOND GREEN III
Location Address7 MEDICAL PLAZA DR STE 250Roseville, CA 95661-3114
Mailing AddressPo Box 255228Sacramento, CA 95865-5228 · (800) 470-0071 · Fax (916) 854-6769
Phone(916) 773-8711
Fax(916) 755-7055
Sole ProprietorNo
Enumeration DateMay 13, 2024
Last NPPES UpdateMarch 17, 20263 updates tracked since enumeration
NPPES CertifiedMarch 17, 2026
✔ NPI 1710735857 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 · 95029487
7 MEDICAL PLAZA DR STE 250, Roseville, CA 95661
Open in Google Maps ↗

Secondary Practice Location 1

Location 1220 S Akers St Ste DVisalia, CA 93291-5185 · Phone (559) 594-3144

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. William Raymond Green Iii 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 Reassignments

3

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

Sutter Medical Foundation
11 mi
Diagnostic Radiology
2800 L ST FL 7
Sacramento, CA 95816
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Sutter Valley Medical Foundation
  • 3,056 clinicians in this Medicare group
NPI 1942524095 (916) 731-7857
Signify Health Medical Associates Of California, PC
90 mi
General Practice
505 MONTGOMERY ST, FL 10 & 11
San Francisco, CA 94111
  • Reassigned Medicare billing, California enrollment
  • 407 clinicians in this Medicare group
NPI 1124685169 (972) 715-3800
Complete Care Community Health Center, Inc
367 mi
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
2928 E CESAR E CHAVEZ AVE
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 88 clinicians in this Medicare group
NPI 1215113964 (323) 266-6700

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 95661 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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

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

VICTORIA FLOWER NP
Nurse Practitioner
7 MEDICAL PLAZA DR STE 250
ROSEVILLE, CA 95661
Placer County (916) 773-8711

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 William Green's NPI number?

The NPI number for William Green is 1710735857. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Where is William Green located?

William Green practices at 7 Medical Plaza Dr Ste 250, Roseville, CA 95661. The listed phone number is (916) 773-8711.

What is William Green's specialty?

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

Is William Green enrolled in Medicare?

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

Which organizations bill Medicare for William Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Green reassigns Medicare benefits to 3 organizations: Sutter Medical Foundation (Sacramento, CA), Signify Health Medical Associates Of California, PC (San Francisco, CA) and Complete Care Community Health Center, Inc (Los Angeles, CA). 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 William 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 William Green was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.