Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Casey Nichole Green, PA-C

Individual provider Physician Assistant · NPI 1457703548

Casey Nichole Green, PA-C is a Physician Assistant in Traverse City, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1023 Business Park Dr
Traverse City, MI 49686-8372
Phone: (231) 389-6982
Fax: (231) 216-7648
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601007872 (MI)

Record details

NPI number1457703548
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 13, 2016
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026

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