Rebecca Lauren Green, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9114034 Issued in FL

Practice address

5340 N Federal Hwy Ste 110
Lighthouse Point, FL 33064-7058

Phone

(754) 212-2935

NPI assigned

Mar 11, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Florida International Univ, College of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Gastro Health, LLCGroup PAC ID 2365440567, 246 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

Merit-based Incentive Payment System (MIPS)

Final score

82.04 of 100Reported as group

Quality

65.4

Promoting interoperability

98

Improvement activities

40

Cost

76.41

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rebecca.green@gastrohealth.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gastro Health LLC

  • Gastroenterology Physician
  • Miami, FL
  • NPI 1487767133
  Medicare reassignment Care Compare group
• Premium Practice Solutions, LLC

  • Gastroenterology Physician
  • Lighthouse Point, FL
  • NPI 1164711214
  Medicare reassignment
• Gastro Health, LLC

  • Gastroenterology Physician
  • Pembroke Pines, FL
  • NPI 1457026932
  NPD
• Lighthouse Foot & Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Deerfield Beach, FL
  • NPI 1508056326
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jupiter Medical Center, Inc.

  • General Acute Care Hospital
  • Jupiter, FL
  • NPI 1295721090
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1346825338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10340 CITY CENTER BLVD APT 204",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330254483",
            "telephone_number": "561-215-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 N FEDERAL HWY STE 110",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647058",
            "telephone_number": "754-212-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "REBECCA",
        "middle_name": "LAUREN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9114034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Gertsen, D.M.D.
• Dalia O Girgis, M.D.
• Thomas John Goberville, MD
• Latonya Graves-Beasley
• Travis Gray
• Gregory Gertsen, DDS, PA
• Janet Grote, M.A. CCC/SLP
• Mayuri P Gupta, MD
• Vipin Gupta, MD
• Michelle Lillian Hamby, CRT

• Medical Physician Assistant in Lighthouse Point, FL
• Providers in Lighthouse Point, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.

Verify at the official NPI Registry.