ALYSSA RAQUEL GREENE PNP
NPI 1902469687
Nurse Practitioner - Pediatrics in Greenville, SC

Q: What is Alyssa Greene's NPI number?

The NPI number for Alyssa Greene is 1902469687. It was assigned to this individual provider in the NPPES registry on April 17, 2019.

Q: What is Alyssa Greene's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Alyssa Greene was last updated on June 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 17, 2019PECOS Enrolled

525 VERDAE BLVD STE 200, GREENVILLE, SC 29607(864) 272-0388 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 2, 2021, Jun 10, 2019, Apr 17, 2019 (3 updates tracked since 2019).

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About Alyssa Raquel Greene Pnp NPPES

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

ALYSSA RAQUEL GREENE PNP (NPI 1902469687) is an individual pediatrics provider in Greenville, South Carolina, licensed in South Carolina (26029) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902469687

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameALYSSA RAQUEL GREENECredential: PNP

Location Address525 VERDAE BLVD STE 200Greenville, SC 29607-4021

Mailing Address2885 W Duskywing DrTucson, AZ 85741-5263 · (678) 896-7797

Phone(864) 272-0388

Sole ProprietorNo

Enumeration DateApril 17, 2019

Last NPPES UpdateJune 14, 20223 updates tracked since enumeration

NPPES CertifiedJune 14, 2022

✔ NPI 1902469687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in SC · 26029

525 VERDAE BLVD STE 200, Greenville, SC 29607

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyssa Raquel Greene Pnp 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 29607 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

DR. JUSTIN S MOLL M.D.

Pediatrics