Ethan Green
NPI 1609547702 · Nurse Practitioner · Grand Rapids, MI
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ethan Green is a Nurse Practitioner provider in Grand Rapids, MI (NPI 1609547702).
Provider details
- NPI number
- 1609547702
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 4704318670 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
4 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
80 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 57 | $85 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 23 | $60 |
Typical Medicare-allowed amounts for these services range $60–$85 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 30 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Buspirone Hcl | 63 | 18 |
| Trazodone Hcl | 62 | 24 |
| Bupropion Hclbrand: Bupropion Xl | 62 | 14 |
| Quetiapine Fumarate | 61 | 14 |
| Sertraline Hcl | 53 | 13 |
| Mirtazapine | 44 | 14 |
| Dextroamphetamine/Amphetamine |
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-09-28
- Last updated
- 2021-10-03
- Certified
- 2021-10-03
Frequently asked questions
- What is Ethan Green's NPI number?
- Ethan Green's National Provider Identifier (NPI) is 1609547702, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Green's specialty?
- Ethan Green is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ethan Green located?
- Ethan Green's practice location on file with NPPES is 300 68th St Se, Grand Rapids, MI 49548-6927.
- What is Ethan Green's phone number?
- The practice phone number listed in the NPPES registry for Ethan Green is (616) 455-5000.
- Does Ethan Green accept Medicare?
- Ethan Green is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ethan Green's NPI active?
- Yes — Ethan Green's NPI (1609547702) is active in the NPPES registry as of the last update on 2021-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.