Amanda Green, PA-C
NPI 1760083059ActiveIndividual· Physician Assistant· Shallotte, NC
Physician Assistant (PA-C) with Tri County Community Health Council Inc, practicing in Shallotte, North Carolina. Their prescriptions cost Medicare Part D more than their services did: $116,699 for 1,679 claims, against $21,095 paid for services in 2024. Lists Centracare - St. Cloud Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1760083059 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Nov 4, 2020 |
| Last updated in NPPES | Nov 17, 2025 |
| Certified by provider | Nov 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 0010-15310 | NC |
| Physician Assistant | 363A00000X | 14006 | MN |
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 - Physician Assistant (MN); Practitioner - Physician Assistant (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 158 |
|---|---|
| Services billed | 556 across 55 procedure codes |
| Paid by Medicare | $21,095 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,679 · 3,415 30-day fills |
|---|---|
| Patients | 290 |
| Total drug cost | $116,699 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Tri County Community Health Council IncWillard, NC · 28 clinicians
Hospital affiliations
- Centracare - St. Cloud HospitalSaint Cloud, MN
- Centracare Health System - Melrose HospitalMelrose, MN
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 18 physician assistants in Shallotte · All physician assistants in North Carolina