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DR. KELLY ALISSA GREEN PHARM.D., PA-C
NPI 1871581595
Physician Assistant in Tucson, AZ

Active since October 06, 2005PECOS EnrolledAccepts Medicare Assignment
1295 N. MARTIN ROOM B308, TUCSON, AZ 85712(520) 626-6016 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2025, Dec 27, 2022, Jul 19, 2022 and 2 more (5 updates tracked since 2019).

About Dr. Kelly Alissa Green Pharm.d., Pa-c NPPES

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

DR. KELLY ALISSA GREEN PHARM.D., PA-C (NPI 1871581595) is an individual physician assistant in Tucson, Arizona and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2020).

NPPES Registry Identity

NPI1871581595
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDR. KELLY ALISSA GREENCredential: PHARM.D., PA-C
Location Address1295 N. MARTIN ROOM B308Tucson, AZ 85712
Mailing Address7566 N La Cholla Blvd Ste ATucson, AZ 85741-2307 · (520) 742-4139
Phone(520) 626-6016
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2020
Enumeration DateOctober 6, 2005
Last NPPES UpdateMarch 3, 20255 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
✔ NPI 1871581595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPharmacist · PharmacotherapyTaxonomy 1835P1200X · License 12514 (AZ)
1295 N. MARTIN ROOM B308, Tucson, AZ 85712
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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

Dr. Kelly Alissa Green Pharm.d., Pa-c 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 ID1052725702
PECOS Enrollment IDI20211206000354
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85712 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kelly Green's NPI number?

The NPI number for Kelly Green is 1871581595. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Where is Kelly Green located?

Kelly Green practices at 1295 N. Martin Room B308, Tucson, AZ 85712. The listed phone number is (520) 626-6016.

What is Kelly Green's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelly Green enrolled in Medicare?

Yes. Kelly 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 Kelly Green accept?

Health plans from Blue Cross Blue Shield of Arizona list Kelly 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.

When was this NPI record last updated?

The NPPES record for Kelly Green was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.