PALESTINE GREEN NP
NPI 1891528667
Nurse Practitioner - Family in Pomona, CA

Q: What is Palestine Green's NPI number?

The NPI number for Palestine Green is 1891528667. It was assigned to this individual provider in the NPPES registry on August 26, 2024. The provider is also known as Pat Green Np.

Q: What is Palestine Green's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Palestine Green was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 26, 2024PECOS Enrolled

1880 N ORANGE GROVE AVE, POMONA, CA 91767(909) 620-7200 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Palestine Green Np NPPES

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

PALESTINE GREEN NP (NPI 1891528667) is an individual family provider in Pomona, California, licensed in California (NP95031374) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891528667

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NamePALESTINE GREENCredential: NP

Location Address1880 N ORANGE GROVE AVEPomona, CA 91767-3006

Mailing Address1525 Falling Star LnChino Hills, CA 91709-4802 · (909) 628-3924

Phone(909) 620-7200

Sole ProprietorNo

Enumeration DateAugust 26, 2024

NPPES CertifiedAugust 26, 2024

✔ NPI 1891528667 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 · NP95031374

1880 N ORANGE GROVE AVE, Pomona, CA 91767

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Other Names 1

Other Name (5)Pat Green Np

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Palestine Green Np 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 91767 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

PATRICK ALONZO

Nurse Practitioner