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

Individual provider Physician Assistant · NPI 1508454661

Madison Green, PA-C is a Physician Assistant in Puyallup, Washington. Qualified in 2021, 5 years ago. Practices with South Sound Neurosurgery PLLC, a 10-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
5
Licensed in
WA
In the registry since
2021
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

1519 3rd St SE
Puyallup, WA 98372-3742
Phone: (253) 841-8939
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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 PA61222553 (WA)

Record details

NPI number1508454661
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 5, 2021
Last updated in NPPESOctober 28, 2021
Certification dateOctober 28, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice South Sound Neurosurgery Pllc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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