Andrew David Green, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9176315 Issued in FL

Practice address

2023 Myra St
Jacksonville, FL 32204-3714

Phone

(904) 503-5464

Fax

(904) 575-4399

NPI assigned

Jun 11, 2012

Sex

Male

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

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seven Bridges Pain Specialists LLCGroup PAC ID 7416329909, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: agreen@sevenbridgespain.emadirect.md

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.

• Seven Bridges Pain Specialists LLC

  • Interventional Pain Medicine Physician
  • Jacksonville, FL
  • NPI 1225743404

  Family

  Medicare reassignment Care Compare group NPD
• Quality Primary Care P a

  • Primary Care Clinic/Center
  • Jacksonville, FL
  • NPI 1245525518
  NPD (past)
• Seven Bridges Pain Specialists LLC

  • Interventional Pain Medicine Physician
  • Jacksonville, FL
  • NPI 1386334944
  NPD (past)

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1396007993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 MYRA ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322043714",
            "telephone_number": "904-503-5464",
            "fax_number": "904-575-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 MYRA ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322043714",
            "telephone_number": "904-503-5464",
            "fax_number": "904-575-4399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4745 Sutton Park Ct Ste 501",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322240251",
            "country_code": "US",
            "telephone_number": "904-503-5464",
            "fax_number": "904-575-4399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ANDREW",
        "middle_name": "DAVID",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9176315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaleen Annette Grecula, MD
• Adam Patrick Greeley, MD
• Green Dove Transportation LLC
• Crista Michelle Green-Propes, ARNP
• Aailyah Green
• Anthony Darius Green, PTA
• Ashley Green
• Barbara R. Green
• Blake Green
• Brittney Keanna Green, HEAVEN SENT HOME

• Family Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.