Ethan Thomas Green

  • Grand Rapids, MI
  • Nurse practitioner
NPI1609547702PAC ID3577952845
Medicare patients, 2024
38
Part D claims, 2024
1,015
Hospital affiliations
1
Medical group
1
State license
1
Practice address
300 - 68th Street, SE, Grand Rapids, MI 49548
Practice phone
Call (616) 455-5000
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Pine Rest Christian Mental Health Services

Hospital · Grand Rapids, Michigan

See all 2 affiliations

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Ethan Thomas Green is a nurse practitioner in Grand Rapids, Michigan

Ethan Green practices at Pine Rest Christian Mental Health Services in Grand Rapids, Michigan, part of Pine Rest Christian Mental Health Services.

Ethan Green's NPI, 1609547702, was assigned on September 28, 2021. Ethan Green holds Michigan license 4704318670.

NPI and contact details
Medicare PAC ID
3577952845
NPI enumeration date
September 28, 2021
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Practice phone
(616) 455-5000
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
31
Medical school graduation
2021

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Ethan Thomas Green practices at Pine Rest Christian Mental Health Services in Grand Rapids, Michigan

Ethan Green's primary practice is Pine Rest Christian Mental Health Services, at 300 - 68th Street, SE, Grand Rapids, MI 49548 in Kent County. The practice phone is (616) 455-5000.

Source: Dmand AI Affiliation Data

Ethan Thomas Green is affiliated with 1 site of care and 1 medical group

Ethan Green's primary practice is Pine Rest Christian Mental Health Services in Grand Rapids, Michigan, part of Pine Rest Christian Mental Health Services. The medical group on file is Pine Rest Christian Mental Health Services. Ethan Green's employer is on file too: a hospital.

See all 2 affiliations for Ethan Green

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Ethan Thomas Green's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Ethan Green practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Pine Rest Christian Mental Health ServicesAvailable with a free account

Source: Dmand AI Technology Install Data

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Ethan Thomas Green is one of 2,742 nurse practitioners in Michigan

Nurse practitioner is Ethan Green's primary specialty in the NPI Registry, under taxonomy code 363L00000X. Ethan Green is licensed in Michigan.

Specialties and state licenses

  • Nurse practitioner, MichiganPrimaryLicense 4704318670 · taxonomy 363L00000X

Nurse practitioners near Ethan Green

Counts of nurse practitioners with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Ethan Thomas Green treated 38 Medicare patients in 2024, average age 59

CMS counts 38 Medicare patients who saw Ethan Green in 2024. The largest group is under 65, with 20 patients. 75% of them have anxiety, and 75% have mood disorders. 34% are also on Medicaid. Their average risk score is 1.06, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Ethan Green's median patient age at 42, with 53% women.

Medicare patients, 202438
Average age59
Average risk score1.06
Also on Medicaid34%

Ethan Green's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Ethan Green's Medicare patients by sex, 2024

  • Women2053%
  • Men1847%

Chronic conditions among Ethan Green's Medicare patients, 2024

  1. Anxiety75%
  2. Mood disorders75%
  3. Depression71%
  4. High blood pressure61%
  5. High cholesterol53%
  6. Arthritis34%
  7. Diabetes29%

Share of Medicare patients with each condition. A patient can have several.

Ethan Green's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 42

Patient panel by sex, all payers

  • Women53%
  • Men47%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Ethan Thomas Green wrote 1,015 Medicare Part D claims in 2024

In 2024, Ethan Green wrote 1,015 Medicare Part D claims for 122 patients. 97% of them were for generic drugs.

Part D claims, 20241,015
Part D patients122

Ethan Green's Part D claims by kind of drug, 2024

  • Generic984 claims97%
  • Brand-name31 claims3%

Drug classes CMS tracks in Ethan Green's Part D claims, 2024

  • Antipsychotics, patients 65 and over5%53 of 1,015 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Source: Medicare Part D Prescribers - by Provider (CMS), 2024 data

Ethan Thomas Green offers telehealth to Medicare patients

Ethan Green accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Ethan Green as offering telehealth.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Source: Doctors and Clinicians National Downloadable File (CMS)

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Sources for Ethan Thomas Green's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Ethan Thomas Green

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Ethan Thomas Green's NPI number?

Ethan Thomas Green's NPI number is 1609547702. It was assigned on September 28, 2021, and it is active in the NPI Registry.

What does Ethan Thomas Green specialize in?

Ethan Thomas Green is a nurse practitioner in Grand Rapids, Michigan. The primary specialty in the NPI Registry is Nurse Practitioner (taxonomy code 363L00000X).

Where does Ethan Thomas Green practice?

Ethan Green practices at 300 - 68th Street, SE, Grand Rapids, MI 49548. Ethan Green's primary practice is Pine Rest Christian Mental Health Services in Grand Rapids, Michigan, part of Pine Rest Christian Mental Health Services.

What is Ethan Thomas Green's office phone number?

The practice phone on file for Ethan Green is (616) 455-5000.

What is Ethan Thomas Green's medical license number?

Ethan Green holds Michigan license 4704318670.

Which hospitals is Ethan Thomas Green affiliated with?

Ethan Green practices at Pine Rest Christian Mental Health Services in Grand Rapids, Michigan.

What medical group is Ethan Thomas Green part of?

Ethan Green is linked to Pine Rest Christian Mental Health Services.

Does Ethan Thomas Green accept Medicare?

Yes. CMS lists Ethan Green as accepting Medicare assignment.

Does Ethan Thomas Green offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Ethan Green as offering telehealth services.

How many Medicare patients does Ethan Thomas Green see?

CMS counts 38 Medicare patients who saw Ethan Green in 2024, with an average age of 59.

How long has Ethan Thomas Green been practicing?

Ethan Green graduated from medical school in 2021, 5 years ago.

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