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

Individual provider Certified Registered Nurse Anesthetist · NPI 1902103849

Jessica L. Green, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Tyler, Texas. Qualified in 2010, 16 years ago. Practices with Northstar Anesthesia III PA, a 399-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
16
Licensed in
TX
In the registry since
2011
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1000 S Beckham Ave Dept OF Anesthesia
Tyler, TX 75701-1908
Phone: (877) 281-9905
Fax: (817) 877-0350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 795190 (TX)

Record details

NPI number1902103849
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedFebruary 11, 2011
Last updated in NPPESFebruary 11, 2011

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Northstar Anesthesia Iii Pa — 399 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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