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JAYLEN Z GREEN MD
NPI 1891290599
Pediatrics in Tahlequah, OK

Active since March 26, 2018PECOS Enrolled
19600 E ROSS ST, TAHLEQUAH, OK 74464(539) 234-1000 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2021, Mar 26, 2018 (2 updates tracked since 2018).

About Jaylen Z Green Md NPPES

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

JAYLEN Z GREEN MD (NPI 1891290599) is an individual pediatrics provider in Tahlequah, Oklahoma, licensed in Oklahoma (38136) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891290599
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJAYLEN Z GREENCredential: MD
Location Address19600 E ROSS STTahlequah, OK 74464-0545
Mailing Address19600 E Ross StTahlequah, OK 74464-0545 · (539) 234-1000
Phone(539) 234-1000
Sole ProprietorNo
Enumeration DateMarch 26, 2018
Last NPPES UpdateAugust 24, 20212 updates tracked since enumeration
NPPES CertifiedAugust 24, 2021
✔ NPI 1891290599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OK · 38136
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
19600 E ROSS ST, Tahlequah, OK 74464
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaylen Z Green Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74464 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 20

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

LINDSEY MICHELLE STROTHER PA
Physician Assistant
19600 E ROSS ST
TAHLEQUAH, OK 74464
Cherokee County (919) 434-8500
DR. SARAH ANNE PEARSON DO
Student in an Organized Health Care Education/Training Program
19600 E ROSS ST
TAHLEQUAH, OK 74464
Cherokee County (539) 302-4172
ANN NGUYEN D.P.M
Podiatrist
19600 E ROSS ST
TAHLEQUAH, OK 74464
Cherokee County (539) 234-1000
MIKAYLA JAMESON
Occupational Therapy Assistant
19600 E ROSS ST
TAHLEQUAH, OK 74464
Cherokee County (539) 234-1900
THOMAS CRAIG BEEN DDS
Dentist (General Practice)
19600 E ROSS ST
TAHLEQUAH, OK 74464
Cherokee County (539) 234-1000
KIMBERLY ANN WATSON NP-C
Nurse Practitioner
19600 E ROSS ST
TAHLEQUAH, OK 74464
Cherokee County (539) 234-1000
DESTINY SPRING DANIEL PHARM.D.
Pharmacist
19600 E ROSS ST
TAHLEQUAH, OK 74464
Cherokee County (539) 234-1000
BRITTANY N HUGGINS
Peer Specialist
19600 E ROSS ST
TAHLEQUAH, OK 74464
Cherokee County (539) 234-1000

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 Jaylen Green's NPI number?

The NPI number for Jaylen Green is 1891290599. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Where is Jaylen Green located?

Jaylen Green practices at 19600 E Ross St, Tahlequah, OK 74464. The listed phone number is (539) 234-1000.

What is Jaylen Green's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jaylen Green enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jaylen Green was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.