Individual provider Active NPI

Miyvetteshaune Green, CRNA

  • Certified Registered Nurse Anesthetist
  • Miami, FL
National Provider Identifier
1609080746
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3314562 Issued in FL
Practice address
2601 SW 37TH Ave Ste 100-101
Miami, FL 33133-2700
Phone
(305) 446-7277
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 3314562 FL
Certified Registered Nurse Anesthetist 367500000X 3314562 FL Primary

Addresses

Primary practice location

2601 SW 37TH Ave Ste 100-101
Miami, FL 33133-2700

Mailing address

2890 W Broward Blvd Unit B230
Ft Lauderdale, FL 33312-1263
Phone (954) 770-9219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090102000131 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971665787 Reassigns benefits to 4 organizations
I20240219003369 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971665787 Reassigns benefits to 1 organization
I20240912002802 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971665787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians
The Moses H Cone Memorial Hospital Operating CorporationGroup PAC ID 6204744600, 724 clinicians
Sunshine State Anesthesia Partners LLCGroup PAC ID 8123434792, 429 clinicians

Practice addresses (Care Compare)

1120 15TH St
Augusta, GA 30912-0004
Phone (706) 721-8623

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-7000

21298 Olean Blvd
Port Charlotte, FL 33952-6705
Phone (941) 629-1181

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

989 Saint Sebastian Way
Augusta, GA 30912-0004
Phone (706) 721-2171

Hospital & facility affiliations

  • Wellstar MCG Health, Affiliated With Med Col Hospital, Augusta, GA, CCN 110034

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
78.19
Promoting interoperability
100
Improvement activities
40
Cost
81.07

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3314562FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine State Anesthesia Partners LLC CurrentSince Oct 14, 2025 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince May 24, 2024 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince May 24, 2024 Accepting new patients
Galloway Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 14, 2020 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Current Accepting new patients
Galloway Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 14, 2020 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Jupiter Anesthesia Associates LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Anesco North Broward LLC CurrentSince Mar 29, 2022 Accepting new patients
Jupiter Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 17, 2023 Accepting new patients

Locations

7152 Coca Sabal Ln
Fort Myers, FL 33908
Phone (239) 939-9939

3601 W Commercial Blvd
Ste 4
Ft Lauderdale, FL 33309

3601 W Commercial Blvd
Ste 5
Ft Lauderdale, FL 33309
Phone (954) 485-2002

5300 NW 33rd Ave
Ste 204
Ft Lauderdale, FL 33309
Phone (954) 485-2002

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

515 W State Road 434
Ste 105
Longwood, FL 32750
Phone (407) 260-6000

7600 SW 87th Ave
Ste 100
Miami, FL 33173
Phone (786) 235-3750

9415 SW 72nd St
Ste 274
Miami, FL 33173
Phone (305) 468-4184

21298 Olean Blvd
Pt Charlotte, FL 33952
Phone (941) 624-7032

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1609080746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2890 W BROWARD BLVD UNIT B230",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121263",
            "telephone_number": "954-770-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 SW 37TH AVE STE 100-101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332700",
            "telephone_number": "305-446-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MIYVETTESHAUNE",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "3314562",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "3314562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.