SHANA R GREEN PMHNP-BC/ ANP-BC
NPI 1861761207
Nurse Practitioner - Adult Health in Portland, OR

Q: What is Shana Green's NPI number?

The NPI number for Shana Green is 1861761207. It was assigned to this individual provider in the NPPES registry on December 14, 2011.

Q: What is Shana Green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Shana Green was last updated on March 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 14, 2011PECOS EnrolledAccepts Medicare Assignment

3930 SE DIVISION ST, PORTLAND, OR 97202(503) 418-3900 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 11, 2025, May 22, 2018, Apr 9, 2018 (3 updates tracked since 2018).

On this page

About Shana R Green Pmhnp-bc/ Anp-bc NPPES

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

SHANA R GREEN PMHNP-BC/ ANP-BC (NPI 1861761207) is an individual adult health provider in Portland, Oregon, licensed in Oregon (201150173NP) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1861761207

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameSHANA R GREENCredential: PMHNP-BC/ ANP-BC

Location Address3930 SE DIVISION STPortland, OR 97202-1643

Mailing Address1400 Sw 5th AvePortland, OR 97201-5537 · (503) 418-3900 · Fax (503) 418-3938

Phone(503) 418-3900

Sole ProprietorNo

Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2011

Enumeration DateDecember 14, 2011

Last NPPES UpdateMarch 11, 20253 updates tracked since enumeration

NPPES CertifiedMarch 11, 2025

✔ NPI 1861761207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

Licenses✔ Licensed in OR · 201150173NP✔ Licensed in CA · 21009

Also ListedRegistered NurseTaxonomy 163W00000X · License 708000 (CA), RN.1650946 (CO)

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 21009 (CA), APN.0993439-NP (CO)

3930 SE DIVISION ST, Portland, OR 97202

Open in Google Maps ↗

Secondary Practice Locations 2

Location 11000 W South Boulder Rd Ste 110Lafayette, CO 80026-2753 · Phone (303) 415-4355 · Fax (303) 666-1982

Location 21155 Alpine Ave Fl 2Boulder, CO 80304 · Phone (303) 415-4299 · Fax (303) 441-2202

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.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

Shana R Green Pmhnp-bc/ Anp-bc 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 ID6709044159

PECOS Enrollment IDI20180215000144

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.

Hospital Affiliations CMS Care Compare

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

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number380009

Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97202 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

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.

Leave this field empty

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.

MEGAN MARIE VIEHMANN PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)