Individual provider Active NPI

Michael S. Greiner, NP-C, D.C.

  • Nurse Practitioner
  • Warren, MI
National Provider Identifier
1942452453
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704370015 Issued in MI
Practice address
2243 E 12 Mile Rd
Warren, MI 48092-5644
Phone
(586) 573-8100
Fax
(586) 573-8101
NPI assigned
Oct 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MG009739 MI
Nurse Practitioner 363L00000X 4704370015 MI Primary

Addresses

Primary practice location

2243 E 12 Mile Rd
Warren, MI 48092-5644

Mailing address

2243 E 12 Mile Rd
Warren, MI 48092-5644
Phone (586) 573-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110519000307 MI Practitioner - Chiropractic 9931263670 Reassigns benefits to 1 organization
I20250602003471 MI Practitioner - Nurse Practitioner 9931263670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2243 E 12 Mile Rd
Warren, MI 48092-5644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
MG009739MIMDChiropractor
4704370015MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medcare Inc CurrentSince Dec 1, 2011 Accepting new patients
Irvine Chiropractic Inc. Past Accepting new patients

Locations

2243 E 12 Mile Rd
Warren, MI 48092
Phone (586) 573-8100

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1942452453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2243 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480925644",
            "telephone_number": "586-573-8100",
            "fax_number": "586-573-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2243 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480925644",
            "telephone_number": "586-573-8100",
            "fax_number": "586-573-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREINER",
        "first_name": "MICHAEL",
        "middle_name": "S.",
        "credential": "NP-C, D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-15",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "MG009739",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704370015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.