Matthew Michael Green, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704279709 Issued in MI

Practice address

1202 W Oak St
Greenville, MI 48838-2155

Phone

(616) 754-4685

NPI assigned

Dec 28, 2021

Last updated

Apr 6, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spectrum Health UnitedGroup PAC ID 6305836487, 90 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Spectrum Health United Hospital Hospital, Greenville, MI, CCN 230035

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mgreen156628@epic00.corewelldirect.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.

• Spectrum Health United

  dba Corewell Health Greenville Hospital

  • General Acute Care Hospital
  • Greenville, MI
  • NPI 1457304495
  Medicare reassignment Care Compare group NPD
• Mecosta County Medical Center

  dba Spectrum Health Big Rapids Hospital

  • Cardiovascular Disease Physician
  • Big Rapids, MI
  • NPI 1386693471
  Medicare reassignment NPD
• Pennock Hospital

  dba Corewell Health Pennock Hospital Professional

  • Family Medicine Physician
  • Hastings, MI
  • NPI 1518186295

  Nurse Practitioner

  Medicare reassignment NPD
• Reed City Hospital Corporation

  dba Corewell Health Reed City Hospital Professional

  • Family Medicine Physician
  • Reed City, MI
  • NPI 1831253798
  Medicare reassignment NPD
• Mecosta County Medical Center

  dba Corewell Health Big Rapids Hospital

  • General Acute Care Hospital
  • Big Rapids, MI
  • NPI 1316945991
  NPD
• Mecosta County Medical Center

  dba Corewell Health Big Rapids Hospital Professional

  • Family Medicine Physician
  • Big Rapids, MI
  • NPI 1366730566

  Nurse Practitioner

  NPD
• Pennock Hospital

  dba Specialist Group

  • Internal Medicine Physician
  • Hastings, MI
  • NPI 1750500435
  NPD
• Reed City Hospital Corporation

  dba Spectrum Health Reed City Hospital Nurse Practitioners

  • General Practice Registered Nurse
  • Reed City, MI
  • NPI 1366735219
  NPD
• Spectrum Health United

  dba Corewell Health Greenville Hospital Professional

  • Family Medicine Physician
  • Greenville, MI
  • NPI 1063781342
  NPD

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

• Spectrum Health United

  dba Corewell Health Greenville Hospital

  • General Acute Care Hospital
  • Greenville, MI
  • NPI 1457304495
  Care Compare affiliation

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1851051163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560",
            "telephone_number": "616-486-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 W OAK ST",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488382155",
            "telephone_number": "616-754-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MATTHEW",
        "middle_name": "MICHAEL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-28",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704279709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1202 W Oak St",
            "city": "Greenville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488382155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgreen156628@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "1202 W Oak St",
            "city": "Greenville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488382155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Vanessa Graves, IBCLC
• Greenville Care Center, Inc (Metron of Greenville)
• Greenville Care Center, Inc.
• Greenville Family Dental, PLC (Greenville Family Dental)
• Greenville Family Dentistry (Flat River Family Dentistry)
• Greenville Family Foot Care P C

• Family Nurse Practitioner in Greenville, MI
• Providers in Greenville, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.