NPPES file of Aug 9, 2026

Ethan Thomas Green

Nurse Practitioner · Grand Rapids, MI

Ethan Thomas Green is a nurse practitioner with a practice address in Grand Rapids, Michigan, and NPI 1609547702, issued on Sep 28, 2021. Check the license (Michigan 4704318670, as entered in NPPES) with the Michigan board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1609547702
Name
Ethan Thomas Green
Primary taxonomy
Nurse Practitioner 363L00000X
License number
4704318670 MI
Self-reported in NPPES; status is on the state search
Practice location
300 68TH St SE, Grand Rapids, MI 49548
Phone
(616) 455-5000
Enumerated
Sep 28, 2021
Record last updated
Oct 3, 2021 (not updated in 5 years: call before relying on the address or phone)
Fax
(616) 281-6459
Medicare enrollment
Enrolled (PECOS I20211109000586); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 300 68TH St SE

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Salman Abdul MajeedPsychiatry Physician1144896218
  2. Kimberly AbedClinical Social Worker1568864775
  3. Eric Achtyes, MDPsychiatry Physician1780665976
  4. Matthew AdamsBehavior Analyst1770290561
  5. Andrae Agnew, LMSWClinical Social Worker1306481023
  6. Kyle AhonenChild & Adolescent Psychiatry Physician1326579426

Verify Ethan Thomas Green in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Michigan board licenses this profession
    Search for license 4704318670
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Michigan license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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8% fewer Medicare Part D claims than the average nurse practitioner in 2024

1,015 Medicare Part D claims for 122 beneficiaries, against an average of 1,109 among the 54,319 providers of this specialty who prescribed in Part D. Brand-name drugs were 3% of claims.

  1. Ethan Green1,015
  2. Specialty average1,109

Most prescribed

  1. Buspirone Hcl63 claims
  2. Bupropion Xl62 claims
  3. Trazodone Hcl62 claims
  4. Quetiapine Fumarate61 claims
  5. Sertraline Hcl53 claims
  6. Mirtazapine44 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

One hospital affiliation

  1. Pine Rest Christian Mental Health ServicesGrand Rapids, MI · Psychiatric

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov).

Ethan Thomas Green among 3,574 nurse practitioner records in Michigan

Ethan Thomas Green is one of 3,574 nurse practitioner records with a practice address in Michigan. 71% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 76% of them.

  • NPI issued2021 · 76% of these records are older, 18% newer
  • In a Medicare fileYes · 71% of these records are
  • In the CMS Doctors and Clinicians fileYes · 56% of these records are
  • Graduated2021 · median 2017 among the 1,983 with a school on file
  • Record last updated2021 · 52% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363L00000X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

275 nurse practitioner records list a practice address in Grand Rapids

They are 275 of the 18,005 NPPES records with a practice address in Grand Rapids, and 3,574 nurse practitioner records in Michigan.

The 8 nurse practitioner records with the nearest ZIP codes

  1. Jordon Baker, NPGrand Rapids, MI 495481467954784
  2. Genevieve Bastos, PMHNPGrand Rapids, MI 495481902843774
  3. Morgan Bertrand, PMHNPGrand Rapids, MI 495481790240455
  4. Bonnie Davis, NPGrand Rapids, MI 495481467987180
  5. Donna Demann, FNPGrand Rapids, MI 495481801848189
  6. Elizabeth Jackson, PMHNPGrand Rapids, MI 495481073180535
  7. Scott MinardGrand Rapids, MI 495481609547587
  8. Michael Parker, NPGrand Rapids, MI 495481740846013

Common questions

What is Ethan Thomas Green's NPI number?

Ethan Thomas Green's National Provider Identifier (NPI) is 1609547702, issued on Sep 28, 2021. An NPI identifies a provider in billing; it is not a license.

Where is Ethan Thomas Green located?

The NPPES record lists a practice address at 300 68TH St SE, Grand Rapids, MI, 49548. Phone: (616) 455-5000. Providers update this record themselves, so call before visiting.

How can I verify Ethan Thomas Green's license?

NPPES lists Michigan license number 4704318670, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.

How much does Ethan Thomas Green prescribe under Medicare Part D?

In 2024, Ethan Thomas Green had 1,015 Medicare Part D claims for 122 beneficiaries; the average among nurse practitioner prescribers was 1,109. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.