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

Mallory Ann Green

Individual provider Medical Physician Assistant · NPI 1669127239

Mallory Ann Green is a Physician Assistant in Rochester, New York. Qualified in 2022, 4 years ago. Practices with Western New York Medical Practice PC, a 528-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
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Practice location Address checks out

222 Alexander St
Rochester, NY 14607-4039
Phone: (585) 922-8003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 029112 (NY)

Record details

NPI number1669127239
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 13, 2022
Last updated in NPPESFebruary 28, 2023
Certification dateFebruary 28, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Western New York Medical Practice Pc — 528 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients107
Services billed 196 a service is one billed item, such as a visit, a test or a procedure
Average patient age62

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Western New York Medical Practice PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 528 clinicians in the practice; 12 are shown here.

Other providers in Rochester