DR. DANIEL ROBERT GREEN (DNP, NP-C) – Family Nurse Practitioner, NPI 1407309982

DR. DANIEL ROBERT GREEN (DNP, NP-C) is a healthcare provider. based in Rockford, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, NP-C. They hold a License No. 155120-30 (WI). The NPI Number for DR. DANIEL ROBERT GREEN (DNP, NP-C) is 1407309982

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. DANIEL ROBERT GREEN (DNP, NP-C)
NPI
1407309982
Phone
(815) 397-8400
Address
1235 N MULFORD RD
Enumeration Date
1 August 2016
Last Update Date
17 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8152885531
Graduation Year
2016 (10 years ago)
PAC ID
7214222827
Group Practice PAC ID
4284693755
Professional Enrollment ID
I20160822001688
Address ID
IL610213116DI403XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:9State licenses:3Digital endpointsOther names

11,637 NURSE PRACTITIONER in IL

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Provider Addresses for DR. DANIEL ROBERT GREEN (DNP, NP-C)

  • 1235, North Mulford Road, Rockford, Winnebago County, Illinois, 61107, United States

    ROCKFORD, IL 611073879

    Phone: (815) 397-8400

    Fax: (815) 229-0050

    Type: Mailing

  • 222, North Mulford Road, Rockford, Winnebago County, Illinois, 61107, United States

    ROCKFORD, IL 611073879

    Phone: (815) 397-8400

    Fax: (815) 229-0050

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $1,158.

Total Amount is formed as General ($1,158) + Research ($0) + Ownership ($0) = $1,158.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Medtronic, Inc. ($815).

Total Amount

$1,158

General + Research + Ownership

Payments

26

Total payment records

General Amount

$1,158

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-08-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160822001688INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes287190$0
99213Established patient office or other outpatient visit, 20-29 minutes145116$0
99204New patient office or other outpatient visit, 45-59 minutes5858$0
99203New patient office or other outpatient visit, 30-44 minutes2424$0
View full utilization report →

Insurance plans in this area (ZIP 61107)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284693755View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YIL
Interventional Pain Management, AnesthesiologyIL
Anesthesiology, Pain ManagementIL

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. DANIEL ROBERT GREEN (DNP, NP-C)?
DR. DANIEL ROBERT GREEN (DNP, NP-C) — NPI 1407309982 — is the standard way to identify this listing.
Is DR. DANIEL ROBERT GREEN (DNP, NP-C) still practicing?
DR. DANIEL ROBERT GREEN (DNP, NP-C) is currently listed as active in the public NPI registry.
What healthcare role does DR. DANIEL ROBERT GREEN (DNP, NP-C) hold?
Scheduling teams often label DR. DANIEL ROBERT GREEN (DNP, NP-C) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect DR. DANIEL ROBERT GREEN (DNP, NP-C) on a map?
Expect Rockford, Illinois as a primary anchor for DR. DANIEL ROBERT GREEN (DNP, NP-C) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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