KEVIN GREEN
NPI 1508638073
Nurse Practitioner - Family in Troy, MI
About Kevin Green NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN GREEN (NPI 1508638073) is an individual family provider in Troy, Michigan, licensed in Michigan (4704366840) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS, is affiliated with St Joe Mercy Hospital System Livonia, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kevin Green is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Kevin Green reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Southfield, MI 48034
- Reassigned Medicare billing, Michigan enrollment
- 61 clinicians in this Medicare group
Detroit, MI 48215
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Park Family Health Care PC
- 30 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Joe Mercy Hospital System Livonia
Acute Care Hospitals · Livonia, MIBeaumont Hospital - Dearborn
Acute Care Hospitals · Dearborn, MIGarden City Hospital
Acute Care Hospitals · Garden City, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48083 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kevin Green's NPI number?
The NPI number for Kevin Green is 1508638073. It was assigned to this individual provider in the NPPES registry on October 26, 2023.
Where is Kevin Green located?
Kevin Green practices at 671 E Big Beaver Rd Ste 111, Troy, MI 48083. The listed phone number is (248) 244-8545.
What is Kevin Green's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kevin Green enrolled in Medicare?
Yes. Kevin Green is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kevin Green's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Green reassigns Medicare benefits to 2 organizations: Mclaren Community Based Primary Care Group (Southfield, MI) and Park Family Health Care, P.C. (Detroit, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kevin Green accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Kevin Green as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Kevin Green affiliated with any hospitals?
According to CMS data, Kevin Green is affiliated with St Joe Mercy Hospital System Livonia, Beaumont Hospital - Dearborn and Garden City Hospital.
When was this NPI record last updated?
The NPPES record for Kevin Green was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kevin Green · NPI 1508638073
Family physician in Troy, Michigan. Individual provider, active in the CMS NPPES registry since October 26, 2023.
## Identity
- **NPI:** 1508638073 (Entity type: Individual)
- **Enumerated:** October 26, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704366840 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 671 E BIG BEAVER RD STE 111, Troy, MI 48083-1421
- **Phone:** (248) 244-8545 · **Fax:** (248) 244-8582
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mclaren Community Based Primary Care Group (NPI 1225964042, Southfield, MI); Park Family Health Care, P.C. (NPI 1437161437, Detroit, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** January 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1508638073) · Data from the CMS NPPES public registry.