1. Home
  2. Directory
  3. Minnesota
  4. Woodbury
  5. Physician Assistant
  6. NPI Profile

ANGELA GREENE PA-C
NPI 1972648962
Physician Assistant - Medical in Woodbury, MN

Active since February 20, 2007Opted out of Medicare · through Feb 3, 2027
1811 WEIR DR STE 270, WOODBURY, MN 55125(651) 714-9646(651) 714-9647 Get Directions Write a Review

NPPES record last updated: January 18, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Angela Greene Pa-c NPPES

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

ANGELA GREENE PA-C (NPI 1972648962) is an individual medical provider in Woodbury, Minnesota, licensed in Minnesota (10039) and active in the NPI registry since February 2007. She has opted out of Medicare through February 3, 2027.

NPPES Registry Identity

NPI1972648962
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameANGELA GREENECredential: PA-C
Location Address1811 WEIR DR STE 270Woodbury, MN 55125-6741
Mailing Address1900 Silver Lake Rd NwNew Brighton, MN 55112-1786 · (651) 628-9566 · Fax (651) 628-0411
Phone(651) 714-9646
Fax(651) 714-9647
Sole ProprietorNo
Enumeration DateFebruary 20, 2007
Last NPPES UpdateJanuary 18, 2019
✔ NPI 1972648962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MN · 10039
1811 WEIR DR STE 270, Woodbury, MN 55125
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Angela Greene Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 3, 2023 through February 3, 2027.

Opt-Out Effective DateFebruary 3, 2023
Opt-Out In Effect ThroughFebruary 3, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

JILL JOHNSON LMFT
Marriage & Family Therapist
1811 WEIR DR STE 270
WOODBURY, MN 55125
Washington County (651) 714-9646
JENN LINDQUIST LADC
Counselor (Addiction (Substance Use Disorder))
1811 WEIR DR STE 270
WOODBURY, MN 55125
Washington County (651) 714-9646
PAIGE WARE
Counselor (Addiction (Substance Use Disorder))
1811 WEIR DR STE 270
WOODBURY, MN 55125
Washington County (651) 243-6087
ROBIN ZIMMERMANN LADC
Counselor (Addiction (Substance Use Disorder))
1811 WEIR DR STE 270
WOODBURY, MN 55125
Washington County (651) 398-6090
BELLA A KRASKA MARTIN
Counselor (Mental Health)
1811 WEIR DR STE 270
WOODBURY, MN 55125
Washington County (651) 714-9646
ERIN SETALA LPCC
Counselor (Professional)
1811 WEIR DR STE 270
WOODBURY, MN 55125
Washington County (651) 714-9646
PALMER VANBEEST LMFT
Marriage & Family Therapist
1811 WEIR DR STE 270
WOODBURY, MN 55125
Washington County (651) 714-9646
NICOLE E BRINGGOLD
Marriage & Family Therapist
1811 WEIR DR STE 270
WOODBURY, MN 55125
Washington County (651) 714-9646

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 Angela Greene's NPI number?

The NPI number for Angela Greene is 1972648962. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Where is Angela Greene located?

Angela Greene practices at 1811 Weir Dr Ste 270, Woodbury, MN 55125. The listed phone number is (651) 714-9646.

What is Angela Greene's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Angela Greene enrolled in Medicare?

No. Angela Greene has opted out of Medicare through February 3, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Angela Greene was last updated on January 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.