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

Jared A Green, PA-C

Individual provider Physician Assistant · NPI 1134198419

Jared A Green, PA-C is a Physician Assistant in Cedar City, Utah. Qualified in 2005, 21 years ago. Practices with Revere Health PC, a 410-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
21
Licensed in
UT
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1870 N Main St Ste 201
Cedar City, UT 84721-7742
Phone: (435) 383-9009
Fax: (435) 383-9010
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (2)

  • 860 N Main St Ste B, Richfield, UT 84701-1805 — (435) 215-0646
  • 2825 E Mall Dr, St George, UT 84790-1954 — (801) 354-8225

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8441754-1206 (UT)

Record details

NPI number1134198419
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 17, 2006
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Cedar City