KRISTINA E GREEN (DPM) – Podiatrist, NPI 1558360875

KRISTINA E GREEN (DPM) is a healthcare provider. based in Novi, Michigan. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 36003381 (OH). The NPI Number for KRISTINA E GREEN (DPM) is 1558360875

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
KRISTINA E GREEN (DPM)
NPI
1558360875
Phone
(248) 347-8233
Address
44000 W 12 MILE RD
Enumeration Date
19 July 2005
Last Update Date
28 February 2017

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
7345420200
Graduation Year
2002 (24 years ago)
PAC ID
3678539350
Group Practice PAC ID
8426008368
Professional Enrollment ID
I20170321000830
Address ID
MI481541900LI36622RDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

753 PODIATRY in MI

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Provider Addresses for KRISTINA E GREEN (DPM)

  • 44000, West 12 Mile Road, Novi, Oakland County, Michigan, 48377, United States

    SUITE 111

    NOVI, MI 483772644

    Phone: (248) 347-8233

    Fax: (248) 347-8174

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $106.

Total Amount is formed as General ($106) + Research ($0) + Ownership ($0) = $106.

Last reported payment date: 2024-07-27 • Largest payer in this snapshot: TREACE MEDICAL CONCEPTS, INC. ($61).

Total Amount

$106

General + Research + Ownership

Payments

2

Total payment records

General Amount

$106

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-27

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: 2017-03-21

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
I20170321000830IPodiatryMITBD

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
11721Removal of fingernails or toenails, 6 or more nails2114$0
View full utilization report →

Insurance plans in this area (ZIP 48377)

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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: 8426008368View full group profile
NameSpecialtyState
-MI
Physician AssistantMI
Physician AssistantMI
Physical Therapist In Private PracticeMI
-MI
-MI
Physical Therapist In Private PracticeMI
Physician AssistantMI
Family Practice, Geriatric MedicineMI
C H I R O P R A C T I CMI

Reviews

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Frequently asked questions

How is KRISTINA E GREEN (DPM) identified in CMS data?
CMS-hosted NPPES data lists KRISTINA E GREEN (DPM) with NPI 1558360875.
Does CMS list KRISTINA E GREEN (DPM) as active?
Yes — KRISTINA E GREEN (DPM) is active in the NPI listing used on this page.
What is KRISTINA E GREEN (DPM) best known for clinically?
Directory data describes KRISTINA E GREEN (DPM) with Podiatrist. Clinical services aligned with this taxonomy classification.
Where should I expect KRISTINA E GREEN (DPM) on a map?
Expect Novi, Michigan as a primary anchor for KRISTINA E GREEN (DPM) unless the record lists multiple sites.
Why does KRISTINA E GREEN (DPM) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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