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

Shea Elizabeth Green, PA

Individual provider Physician Assistant · NPI 1164041034

Shea Elizabeth Green, PA is a Physician Assistant in Scottsdale, Arizona. Qualified in 2020, 6 years ago. Practices with Priority Family Medical Clinic LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
6
Licensed in
AZ
In the registry since
2020
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

8752 E Via De Commercio Ste 1
Scottsdale, AZ 85258-3396
Phone: (480) 684-1080
Fax: (480) 684-1081
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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 8239 (AZ)

Record details

NPI number1164041034
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedApril 10, 2020
Last updated in NPPESMarch 7, 2023
Certification dateMay 17, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Priority Family Medical Clinic Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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