Mikayla Annmarie Green, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

5901400602 Issued in MI

Practice address

4911 Hedgewood Dr
Midland, MI 48640-1930

Phone

(989) 631-8200

Fax

(989) 631-5901

NPI assigned

Apr 21, 2023

Last updated

Jul 30, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midland Podiatry Associates PLLCGroup PAC ID 7315073483, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047
• Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mgreen804535@direct.hfhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Midland Podiatry Associates PLLC

  • Podiatrist
  • Midland, MI
  • NPI 1073849428
  Medicare reassignment Care Compare group NPD
• David W. Snider, DPM

  dba Midland Podiatry Associates

  • Foot & Ankle Surgery Podiatrist
  • Midland, MI
  • NPI 1689720872
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry Ford Health System

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1134144801
  Care Compare affiliation
• Henry Ford Macomb Hospital Corporation

  dba Henry Ford Health Macomb Hospital

  • General Acute Care Hospital
  • Clinton TWP, MI
  • NPI 1023114634
  Care Compare affiliation
• Henry Ford Macomb Hospital Corporation

  • General Acute Care Hospital
  • Warren, MI
  • NPI 1902842735
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1477240125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4911 HEDGEWOOD DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486401930",
            "telephone_number": "989-631-8200",
            "fax_number": "989-631-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 HEDGEWOOD DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486401930",
            "telephone_number": "989-631-8200",
            "fax_number": "989-631-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MIKAYLA",
        "middle_name": "ANNMARIE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-21",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901400602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Lakes Home Care Unlimited LLC
• Great Lakes Pharmacy Midland, LLC (Great Lakes Pharmacy of Midland)
• Great Lakes Pharmacy Midland, LLC (Great Lakes Pharmacy of Midland)
• Mary L Greeley, RD
• Emily Marie Green
• Sara Ann Green, PT, DPT
• Michelle Joy Greenan, RN
• Ardeth Greene, NP-C
• Raechel Greenia, LLMSW
• Andrew G Gregson

• Foot & Ankle Surgery Podiatrist in Midland, MI
• Providers in Midland, MI by specialty
• Foot & Ankle Surgery Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.