DR. MITCHELL WAYNE GREEN (D.C.) – Chiropractor, NPI 1174959977

DR. MITCHELL WAYNE GREEN (D.C.) is a healthcare provider. based in Munster, Indiana. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 08002727A (IN). The NPI Number for DR. MITCHELL WAYNE GREEN (D.C.) is 1174959977

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. MITCHELL WAYNE GREEN (D.C.)
NPI
1174959977
Phone
(219) 836-8890
Address
706 RIDGE RD
Enumeration Date
25 September 2013
Last Update Date
25 September 2013

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
6517628040
Graduation Year
2013 (13 years ago)
PAC ID
4486881273
Group Practice PAC ID
0749366821
Professional Enrollment ID
I20160531000122
Address ID
MN551103207WH2130XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:12State licenses:3Digital endpointsOther names

770 CHIROPRACTIC in IN

Provider Addresses for DR. MITCHELL WAYNE GREEN (D.C.)

  • 706 RIDGE RD

    MUNSTER, IN 463211612

    Phone: (219) 836-8890

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-05-31

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
I20160531000122IChiropracticMNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46321)

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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: 0749366821View full group profile
NameSpecialtyState
C H I R O P R A C T I CMN
C H I R O P R A C T I CMN
C H I R O P R A C T I CMN
C H I R O P R A C T I CMN

Reviews

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Frequently asked questions

Does DR. MITCHELL WAYNE GREEN (D.C.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. MITCHELL WAYNE GREEN (D.C.) uses 1174959977.
Is DR. MITCHELL WAYNE GREEN (D.C.) listed as active for patients and plans?
The listing shows DR. MITCHELL WAYNE GREEN (D.C.) as active in the NPI system.
What is DR. MITCHELL WAYNE GREEN (D.C.) best known for clinically?
Directory data describes DR. MITCHELL WAYNE GREEN (D.C.) with Chiropractor. Clinical services aligned with this taxonomy classification.
What address line appears for DR. MITCHELL WAYNE GREEN (D.C.)?
DR. MITCHELL WAYNE GREEN (D.C.)'s geographic hint is Munster, Indiana in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.