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Active NPI 1356328231 Individual Practitioner Female Practitioner

Andrea C Green , PA-C

Physician Assistant • Edgewood, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Andrea Green, PA-C is a certified Physician Assistant practicing in Edgewood, KY. With approximately 22 years of clinical experience since graduating from University Of Kentucky College Of Medicine in 2004, Andrea Green delivers high-quality medical care to the local community at 711 MEDICAL VILLAGE DR.

Andrea Green maintains professional affiliations with St Elizabeth Medical Center, Inc, Summit Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, telephone medical discussion with physician, routine ekg using at least 12 leads including interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

711 Medical Village Dr

Edgewood, KY 410173439

Telephone 8592873045
Fax 8595783800
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Kentucky College Of Medicine

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Edgewood, KY

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs +14.4 yrs vs City Avg
City Avg: 7.6 Yrs
State Avg: 12.7 Yrs
Regional Practice Density
51 Specialists

Practicing in Edgewood, KY (1973 Statewide)

Telehealth Adoption Rate
11.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
41.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Green (22 Years) 22 Yrs
Edgewood Specialty Average (7.6 Years) 7.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
19 19 $173.00 $100.81

Medical Specialties & State Licenses

CMS Verified: 2025-12-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License KY PA900

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License IN 10004353A

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License OH 55001096

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0077725 (OH)
Medicaid State Provider ID
95006151 (KY)

Hospital & Practice Group Affiliations

Summit Medical Group Inc

300 Barnes Rd, Williamstown, KY 410979483

Phone: 8598248400

St Elizabeth Medical Center, Inc

711 Medical Village Dr, Edgewood, KY 410173439

Phone: 8593019010

St Elizabeth Medical Center, Inc

600 Wilson Creek Rd, Lawrenceburg, IN 470252751

Phone: 8593012465

Summit Medical Group Inc

711 Medical Village Dr, Edgewood, KY 410173439

Phone: 8593313353

Secondary Practice Locations

600 Wilson Creek Rd

Lawrenceburg, IN 470252751

Phone: 8124964910

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Brooke Mchugh , APRN

Nurse Practitioner

NPI 1013634401

Advanced Practice Registered Nurse

Lauren Drotleff , APRN

Nurse Practitioner

NPI 1073855771

Advanced Practice Registered Nurse

Kelly O'brien , PA-C

Physician Assistant

NPI 1083212344

Physician Assistant (Certified)

Lia Vilardo , APRN

Nurse Practitioner

NPI 1093595605

Advanced Practice Registered Nurse

Jessica Mollmann , APRN

Nurse Practitioner

NPI 1104443480

Advanced Practice Registered Nurse

Dr. Nitesh Gautam , MD

Internal Medicine - Cardiovascular Disease

NPI 1114533619

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

29 Historical Events
📍
Updated Practice Location December 18, 2025

Registered at 711 MEDICAL VILLAGE DR, EDGEWOOD, KY 410173439 (Tel: 8592873045)

📍
Updated Business Mailing Address December 18, 2025

Registered at PO BOX 636324, CINCINNATI, OH 452636324 (Tel: 8592873045)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2025

Physician Assistant (License #10004353A in IN)

📍
Updated Practice Location September 23, 2024

Registered at 1 MEDICAL VILLAGE DR, EDGEWOOD, KY 410173403 (Tel: 8593012000)

📍
Updated Business Mailing Address September 23, 2024

Registered at 1 MEDICAL VILLAGE DR, EDGEWOOD, KY 410173403 (Tel: 8593012000)

📍
Updated Practice Location October 13, 2021

Registered at 350 THOMAS MORE PKWY, STE 280, CRESTVIEW HILLS, KY 41017 (Tel: 8594260800)

📍
Updated Business Mailing Address October 13, 2021

Registered at 350 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 410175465

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2021

Physician Assistant (License #55001096 in OH)

📍
Updated Practice Location March 25, 2021

Registered at 7607 DIXIE HWY, FLORENCE, KY 410422644 (Tel: 8596556100)

📍
Updated Business Mailing Address March 25, 2021

Registered at 215 E 11TH ST, NEWPORT, KY 410712203 (Tel: 8596556100)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2021

Physician Assistant (License #PA900 in KY)

📍
Updated Practice Location September 04, 2018

Registered at 350 THOMAS MORE PKWY, STE 280, CRESTVIEW HILLS, KY 41017 (Tel: 8594260800)

📍
Updated Business Mailing Address September 04, 2018

Registered at PO BOX 635283, CINCINNATI, OH 452635283 (Tel: 8594260800)

NPI Profile Active March 19, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 19, 2018

Registered at 350 THOMAS MORE PKWY, STE 280, CRESTVIEW HILLS, KY 410175465 (Tel: 8594260800)

📍
Updated Business Mailing Address March 19, 2018

Registered at 2300 CHAMBER CENTER DRIVE, FT. MITCHELL, KY 410171673 (Tel: 8594260800)

👤
Provider Name / Credentials Updated March 19, 2018

Recorded as ANDREA GREEN, P.A.-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2018

Physician Assistant (License #55001096 in OH)

NPI Profile Active September 05, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 05, 2017

Registered at 350 THOMAS MORE PKWY, STE 280, CRESTVIEW HILLS, KY 410175465 (Tel: 8594260800)

📍
Updated Business Mailing Address September 05, 2017

Registered at 350 THOMAS MORE PKWY, STE 280, CRESTVIEW HILLS, KY 410175465 (Tel: 8594260800)

👤
Provider Name / Credentials Updated September 05, 2017

Recorded as ANDREA GREEN, P.A.-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2017

Physician Assistant (License #55001096 in OH)

NPI Profile Active September 23, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location September 23, 2015

Registered at 350 THOMAS MORE PKWY, STE 280, CRESTVIEW HILLS, KY 410175465 (Tel: 8594260800)

📍
Updated Business Mailing Address September 23, 2015

Registered at 350 THOMAS MORE PKWY, STE 280, CRESTVIEW HILLS, KY 410175465 (Tel: 8594260800)

👤
Provider Name / Credentials Updated September 23, 2015

Recorded as ANDREA GREEN, P.A.-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2015

Physician Assistant (License #PA900 in KY)

🟢
Initial NPI Registration & Enumeration December 30, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1356328231
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 30, 2005
Last Update: December 18, 2025
Sole Proprietor: No

Mailing Address

Po Box 636324

Cincinnati, OH 452636324

Phone: 8592873045

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.