Miranda Nicole Green
NPI 1437023587ActiveIndividual· Physician Assistant· League City, TX
Physician Assistant in League City, Texas, trained at University of Texas Medical Branch at Galveston (class of 2025). Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1437023587 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Oct 1, 2025 |
| Last updated in NPPES | Oct 27, 2026 |
| Certified by provider | Oct 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA19769 | TX |
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 - Physician Assistant (TX) |
|---|
Education and affiliations
| Medical school | University of Texas Medical Branch at Galveston |
|---|---|
| Graduation year | 2025 |
| Medicare specialty | Physician Assistant |
Medical group
- Utmb Faculty Group PracticeGalveston, TX · 1,101 clinicians
Hospital affiliation
- University of Texas Medical Branch GalvestonGalveston, TX
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in League City
- 1548825532
- 1922989060
- 1194475772
- 1275018376
- 1356037667
- 1790189561
- 1053028589
- 1306616271
- 1083293849
- 1073735445
- 1417243726
- 1518281815