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DR. KEVIN ROBERT GREEN MD
NPI 1801901897
Acupuncturist in Oshkosh, WI

Active since August 20, 2006Opted out of Medicare · through Aug 24, 2027
1259 W 20TH AVE, OSHKOSH, WI 54902(920) 651-3600(920) 265-1360 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kevin Robert Green Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEVIN ROBERT GREEN MD (NPI 1801901897) is an individual acupuncturist in Oshkosh, Wisconsin and active in the NPI registry since August 2006. He has opted out of Medicare through August 24, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1801901897
Entity TypeIndividualMale
Primary Taxonomy171100000X
Provider Legal NameDR. KEVIN ROBERT GREENCredential: MD
Location Address1259 W 20TH AVEOshkosh, WI 54902-6650
Mailing Address1259 W 20th AveOshkosh, WI 54902-6650 · (920) 651-3600 · Fax (920) 651-3605
Phone(920) 651-3600
Fax(920) 265-1360
Sole ProprietorNo
Enumeration DateAugust 20, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1801901897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 33989 (WI)
1259 W 20TH AVE, Oshkosh, WI 54902
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Kevin Robert Green Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 24, 2017 through August 24, 2027.

Opt-Out Effective DateAugust 24, 2017
Opt-Out In Effect ThroughAugust 24, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 1801901897. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Kevin Green located?

Kevin Green practices at 1259 W 20th Ave, Oshkosh, WI 54902. The listed phone number is (920) 651-3600.

What is Kevin Green's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

Is Kevin Green enrolled in Medicare?

No. Kevin Green has opted out of Medicare through August 24, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kevin Green was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.