NPI

Michelle Renae Green

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
PA-C
Type
Individual
Enumeration date
2007-06-21
Last updated
2018-06-15

Specialties

Licenses

License MI
5601005008

Location

Practice location
419 W State St
City
Mancelona MI
Postal code
49659
Phone
(231) 587-9181

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Mancelona, MI. 34 records in the public file.

Removal request

Public data from NPPES and CMS. Not a credentialing determination.

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