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

Michelle Nickelatti Green, PA-C

Individual provider Medical Physician Assistant · NPI 1972984953

Michelle Nickelatti Green, PA-C is a Physician Assistant in Rogers, Arkansas. Qualified in 2015, 11 years ago. Practices with Healthtexas Provider Network, a 2,539-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas and Texas.

Years since qualifying
11
Licensed in
AR, TX
In the registry since
2015
Specialties on file
2
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

2710 S Rife Medical Ln
Rogers, AR 72758-1452
Phone: (479) 338-8000
Fax: (479) 986-3448
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 (1)

  • 3600 Gaston Ave, Dallas, TX 75246-1800 — (214) 820-1335

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA-1488 (AR)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA09869 (TX)

Record details

NPI number1972984953
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 15, 2015
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Healthtexas Provider Network — 2539 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rogers