Active NPI
Courtney Alyson Green, M.D.
- Trauma Surgery Physician
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- 61408747
- Practice address
- 505 NE 87TH Ave Ste 301
Vancouver, WA 98664-1965 - Phone
- (360) 514-1854
- Fax
- (360) 514-6063
- NPI assigned
- Mar 18, 2013
- Last updated
- Sep 16, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | MC-2262 | ID | |
| Trauma Surgery Physician | 2086S0127X | 14763-320 | WI | |
| Trauma Surgery Physician | 2086S0127X | 61408747 | WA | Primary |
| Surgical Critical Care Physician | 2086S0102X | 67945 | MN | |
| Surgery Physician | 208600000X | 134245 | CA |
Addresses
Primary practice location
505 NE 87TH Ave Ste 301
Vancouver, WA 98664-1965
Mailing address
400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364
Other practice location 1
513 Parnassus Ave
S-321
San Francisco, CA 94143-0470
Phone (651) 329-3976
Other practice location 2
999 N Curtis Rd Ste 415
Boise, ID 83706-1334
Phone (208) 302-2600
Other practice location 3
200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cgreen512646@ewd.direct.hshs.org | Direct | St Vincent Hospital-Hospital Sisters-Third Order of St Francis |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WA, ID, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3801 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-4011
3810 Plaza Way
Kennewick, WA 99338-2722
Phone (509) 221-7000
520 S Eagle Rd
Suite 1241
Meridian, ID 83642-6355
Phone (208) 288-2255
835 S Van Buren St
Green Bay, WI 54301-3526
Phone (920) 496-4700
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
Locations
100 E Warm Springs Ave
#B
Boise, ID 83712
Phone (208) 381-6930
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
610 W Hays St
Boise, ID 83702
Phone (208) 345-3530
520 S Eagle Rd
Ste 1241
Meridian, ID 83642
Phone (208) 288-2255
9850 W St Lukes Dr
Ste 320A
Nampa, ID 83687
Phone (208) 323-3767
3605 Mayfair Ave
Hibbing, MN 55746
Phone (218) 262-3441
750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441
402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858
415 Jefferson St N
Wadena, MN 56482
Phone (218) 631-3510
421 11th St NW
Wadena, MN 56482
Phone (218) 631-3510
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
216 W 10th Ave
Ste 204
Kennewick, WA 99336
Phone (509) 221-5520
3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000
835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246
Interoperability endpoints
- cgreen204162@fairview.direct-ci.com
- cgreen2857193@direct.trinity-health.org
- cgreen512646@ewd.direct.hshs.org
- cgreen854976@direct.centracare.com
- courtney.green.1@18485.direct.athenahealth.com
Organizations & group practices 18
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Kennewick, WA
- NPI 1831682806
-
dba Ascension Medical Group
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
-
dba Prevea Health
- General Practice Physician
- Green Bay, WI
- NPI 1285613638
-
- Clinic/Center
- Hibbing, MN
- NPI 1669569265
-
dba Prevea Sheboygan Health Center
- Internal Medicine Physician
- Sheboygan, WI
- NPI 1275799413
-
dba Astera Health Verndale Clinic
- Rural Health Clinic/Center
- Verndale, MN
- NPI 1407262405
-
dba HealthLine Medical Supply
- Durable Medical Equipment & Medical Supplies
- International Falls, MN
- NPI 1710954821
-
dba St. Nicholas Hospital
- Internal Medicine Physician
- Sheboygan, WI
- NPI 1447737762
-
dba Prevea Health ENT
- Otolaryngology Physician
- Shawano, WI
- NPI 1194314013
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kennewick, WA
- NPI 1578058137
-
dba St Lukes Meridian Medical Center
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
-
dba St Vincent Hospital
- General Acute Care Hospital
- Green Bay, WI
- NPI 1114908001
-
dba St. Vincent Regional Cancer Center
- Hematology & Oncology Physician
- Sheboygan, WI
- NPI 1831784636
Hospital
-
dba St. Vincent Regional Cancer Center
- Hematology & Oncology Physician
- Green Bay, WI
- NPI 1184004236
Hospital
-
dba St. Vincent Regional Cancer Center
- Hematology & Oncology Physician
- Oconto Falls, WI
- NPI 1750760740
Hospital
-
dba St. Vincent Regional Cancer Center
- Hematology & Oncology Physician
- Sturgeon Bay, WI
- NPI 1760861751
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1053653980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E 3RD ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558051951",
"telephone_number": "218-786-8364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 NE 87TH AVE STE 301",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986641965",
"telephone_number": "360-514-1854",
"fax_number": "360-514-6063"
}
],
"practiceLocations": [
{
"address_1": "513 Parnassus Ave",
"address_2": "S-321",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941430470",
"country_code": "US",
"telephone_number": "651-329-3976",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "999 N Curtis Rd Ste 415",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837061334",
"country_code": "US",
"telephone_number": "208-302-2600",
"fax_number": "208-302-2625",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 1st St SW",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "559050001",
"country_code": "US",
"telephone_number": "507-284-2511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREEN",
"first_name": "COURTNEY",
"middle_name": "ALYSON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-18",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "ID",
"license": "MC-2262",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "WI",
"license": "14763-320",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "WA",
"license": "61408747",
"primary": true
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "MN",
"license": "67945",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "134245",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cgreen512646@ewd.direct.hshs.org",
"affiliation": "Y",
"affiliationName": "St Vincent Hospital-Hospital Sisters-Third Order of St Francis",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "835 S Van Buren St",
"city": "Green Bay",
"state": "WI",
"country_code": "US",
"postal_code": "543013526",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.