Dora Renee Green

CRNA | Nurse Anesthetist | 26+ years Exp

132 Abigail Ln, Port Matilda
  Pennsylvania, 16870-7153
814-272-5011
Accepts Medicare Nurse Anesthetist in Port Matilda, Pennsylvania.
Dora Renee Green is a Port Matilda, Pennsylvania based CRNA (Certified Registered Nurse Anesthetist) with 26 years of experience as Anesthesia Administration. She completed her graduation in 2000. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dora Renee Green is RN264780 for Anesthesia Administration in Pennsylvania. Current practice location of Dora Renee Green is 132 Abigail Ln, Port Matilda. Patients can reach her at 814-272-5011 or can fax her at 814-272-6531. Dora Renee Green is CRNA with specialization in Anesthesia Administration and her NPI number (Unique professional ID assigned by NPPES) is 1245217124.
Dora Renee Green is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.

Complete Profile:
Dora Renee Green speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Anesthesia Administration
Credentials: CRNA
Experience: 26+ years
Medical School Attended:Other
Graduation Year:2000
Gender:Female
Accepts Medicare Assignment:Yes
Practice Address:132 Abigail Ln, Port Matilda,
Pennsylvania, 16870-7153
Phone:814-272-5011
Fax:814-272-6531
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 2961677927
Enrollment ID: I20220225000007
NPI Number: 1245217124
NPI Enumeration Date: 30 Dec, 2005
NPI Last Update On: 09 Mar, 2026

Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dora Renee Green are as mentioned below.
License NumberSpecializationStateStatus
RN264780Anesthesia Administration PennsylvaniaPrimary
Hospital Affiliation:
Nurses are affiliated to many hospitals whom they worked with in the past or are presently working with. One nurse can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
Bon Secours Memorial Regional Medical Center (490069)Mechanicsville, VAAcute Care Hospital
Henrico Doctors' Hospital (490118)Richmond, VAAcute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name with which Dora Renee Green has association with along with the number of members in that group.
Organization Name (Group PAC ID) Members
American Anesthesiology Of Virginia Pc (6800790023)777
Other Medical Identifiers:
Other legacy medical identifiers associated with Dora Renee Green such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
2247661MedicaidOhio
728022OtherBUCKEYE
74006495MedicaidKentucky
000001092366OtherIndianaANTHEM PROVIDER NUMBER
000000196948OtherANTHEM BLUE SHIELD
300004136MedicaidIndiana
617576OtherKentuckyWELLCARE
200371350MedicaidIndiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 100 N Academy Ave Ste 6&7,
Danville, Pennsylvania
Zip: 17822-4903
Phone Number: 814-272-5011
Fax Number: 814-272-6531
Patients can reach Dora Renee Green at 132 Abigail Ln, Port Matilda, Pennsylvania or can call to book an appointment on 814-272-5011.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 June, 2026.