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KEVIN GREEN
NPI 1508638073
Nurse Practitioner - Family in Troy, MI

Active since October 26, 2023PECOS EnrolledAccepts Medicare Assignment
671 E BIG BEAVER RD STE 111, TROY, MI 48083(248) 244-8545(248) 244-8582 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2025, Dec 18, 2024, Oct 26, 2023 (3 updates tracked since 2023).

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

NPI1508638073
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKEVIN GREEN
Location Address671 E BIG BEAVER RD STE 111Troy, MI 48083-1421
Mailing Address671 E Big Beaver Rd Ste 111Troy, MI 48083-1421 · (248) 244-8545
Phone(248) 244-8545
Fax(248) 244-8582
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 26, 2023
Last NPPES UpdateJanuary 7, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
✔ NPI 1508638073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704366840
671 E BIG BEAVER RD STE 111, Troy, MI 48083
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID6305296781
PECOS Enrollment IDI20231227002390
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

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, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230002
Location36475 Five Mile RoadLivonia, MI 48154 · Wayne County
Emergency services Birthing friendly

Garden City Hospital

Acute Care Hospitals · Garden City, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230244
Location6245 Inkster RdGarden City, MI 48135 · Wayne County
Emergency services

Physician 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.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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 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 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 18 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.