Ethan Thomas Green
NPI 1609547702ActiveIndividual· Nurse Practitioner· Grand Rapids, MI
Nurse Practitioner with Pine Rest Christian Mental Health Services, practicing in Grand Rapids, Michigan. Their prescriptions cost Medicare Part D more than their services did: $61,041 for 1,015 claims, against $4,794 paid for services in 2024.
Overview
| NPI | 1609547702 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 28, 2021 |
| Last updated in NPPES | Oct 3, 2021 |
| Certified by provider | Oct 3, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 4704318670 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 38 |
|---|---|
| Services billed | 85 across 3 procedure codes |
| Paid by Medicare | $4,794 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,015 · 1,633 30-day fills |
|---|---|
| Patients | 122 |
| Total drug cost | $61,041 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Pine Rest Christian Mental Health ServicesGrand Rapids, MI · 353 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 283 nurse practitioners in Grand Rapids · All nurse practitioners in Michigan