Stephen Mark Green, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

AP109124 Issued in TX

Practice address

1901 Medi Park Dr Ste 2
Amarillo, TX 79106-2105

Phone

(806) 350-7918

NPI assigned

Dec 14, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 9

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX, NH2 enrollments

Enrollment records 2

Merit-based Incentive Payment System (MIPS)

Final score

86.16 of 100Reported as group

Quality

83.25

Promoting interoperability

92

Improvement activities

40

Cost

77.27

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations (25 of 26)

Interoperability endpoints

• Direct secure messaging: stephen.green.p1@direct.paneye.nextgenshare.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.

• Austin Anesthesiology Group, PLLC

  • Anesthesiology Physician
  • Austin, TX
  • NPI 1598724304

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Care Circle Anesthesia Specialists PLLC

  • Anesthesiology Physician
  • Amarillo, TX
  • NPI 1356856785
  Medicare reassignment NPD
• Deaf Smith County Hospital District

  • General Acute Care Hospital
  • Hereford, TX
  • NPI 1568454403
  Medicare reassignment NPD
• Independent Physicians Network PLLC

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1396274676
  Medicare reassignment NPD
• Pecos County Memorial Hospital District

  • Critical Access Hospital
  • Fort Stockton, TX
  • NPI 1073200309
  Medicare reassignment NPD
• Pecos County Memorial Hospital District

  • Family Medicine Physician
  • Fort Stockton, TX
  • NPI 1386400232
  Medicare reassignment NPD
• Premier Anesthesia of Huntsville a Division of Premier Anesthesia LLC

  • Anesthesiology Physician
  • McAllen, TX
  • NPI 1346570355

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Texas Anesthesia Partners, PLLC

  • Anesthesiology Physician
  • Southlake, TX
  • NPI 1144673468
  Medicare reassignment NPD
• U. S. Anesthesia Partners of Texas, P.a.,

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1548208564

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesia Care Group PC

  • Anesthesiology Physician
  • Manchester, NH
  • NPI 1629074224
  Medicare reassignment NPD
• Austin Anesthesiology Group PLLC

  • Anesthesiology Physician
  • Bryan, TX
  • NPI 1528326154
  NPD
• Deaf Smith County Hospital District

  • Family Medicine Physician
  • Hereford, TX
  • NPI 1811987027
  NPD

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1881679595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W LOUIS HENNA BLVD STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787281203",
            "telephone_number": "512-244-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR STE 2",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062105",
            "telephone_number": "806-350-7918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 S Mays St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786647580",
            "country_code": "US",
            "telephone_number": "512-244-4272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "STEPHEN",
        "middle_name": "MARK",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "RNA123016",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "059893-23",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VT",
            "license": "101-0032498",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "201260025CRNA",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1082",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN271326",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP30004631",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "73353",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP109124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "430078925",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "47-0891118",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "83485U",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161131101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan Gray
• Tori Gray, RD, LD
• Deeanna Green, PHD, LPC
• Jeffery Myles Green, CRNA
• Quetta Ann Green, COTA
• Patricia Greenwood, LCSW
• Greg Kinsey Counseling Services, PLLC
• Marc Alan Gregg, LPC
• Michelle Catherine Gregory, RN, NP-C
• Tina Gail Gregory, RRT

• Certified Registered Nurse Anesthetist in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.