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

Holly Green, PA

Individual provider Physician Assistant · NPI 1750873154

Holly Green, PA is a Physician Assistant in Edmond, Oklahoma. Qualified in 2018, 8 years ago. Practices with Inpatient Care Physician Services LLC, an 11-clinician group and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

4801 Integris Pkwy
Edmond, OK 73034-8864
Phone: (719) 237-7990
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1750873154
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 31, 2018
Last updated in NPPESMay 31, 2018
Mailing address3250 Billy Ct, Edmond, OK 73034-9347

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Inpatient Care Physician Services Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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