Alex Jonathan Green, CAA
NPI 1417610270ActiveIndividual· Anesthesiologist Assistant· Green Bay, WI
Anesthesiologist Assistant (CAA) with Bellin Memorial Hospital Inc and 1 other group, practicing in Green Bay, Wisconsin. Medicare paid $12,376 for services to 138 patients in 2024. Lists Bellin Memorial Hospital as a hospital affiliation.
Overview
| NPI | 1417610270 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CAA |
| Sole proprietor | No |
| NPI issued | Oct 19, 2021 |
| Last updated in NPPES | Oct 19, 2021 |
| Certified by provider | Oct 19, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiologist Assistant Primary | 367H00000X | 197-17 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology Assistant (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 138 |
|---|---|
| Services billed | 141 across 44 procedure codes |
| Paid by Medicare | $12,376 |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Anesthesiology Assistant |
Medical groups
- Bellin Memorial Hospital IncGreen Bay, WI · 697 clinicians
- Bellin Anesthesia Associates SCGreen Bay, WI · 35 clinicians
Hospital affiliation
- Bellin Memorial HospitalGreen Bay, WI
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