Alexis Danielle Green, DNP
Nurse Practitioner · South Bend, IN
Alexis Danielle Green, DNP is a nurse practitioner with a practice address in South Bend, Indiana, and NPI 1942900857, issued on Mar 8, 2023. Check the license (Indiana 71017611A, as entered in NPPES) with the Indiana board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Alexis Danielle Green
- Credential
- DNP
- Primary taxonomy
- Nurse Practitioner 363L00000X
- License numbers
- 71017611A IN
4704398971 MI
Self-reported in NPPES; status is on the state search - Practice location
- 621 Memorial Dr Ste 502, South Bend, IN 46601
- Phone
- (574) 647-5875
- Enumerated
- Mar 8, 2023
- Record last updated
- Mar 13, 2026
- Fax
- (574) 647-5878
- Medicaid ID
- 300126137 IN
- Medicare enrollment
- Enrolled (PECOS I20230505001802); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 621 Memorial Dr Ste 502
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Gregory Bingaman, NPAcute Care Nurse Practitioner1265700090
- Robert Credi, MDSurgery Physician1013907781
- Lauran CuylerRegistered Nurse1497692834
- Daniela Edson, AGACNP, NPGerontology Nurse Practitioner1447721105
- Brett Hooker, FNP-BCFamily Nurse Practitioner1083485379
- Justin Koenig, DOSurgery Physician1821314360
Verify Alexis Danielle Green in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Indiana board licenses this profession
Search for license 71017611ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through 2 group practices
- Beacon Medical Group IncElkhart, IN
- Lakeland Medical PracticesSaint Joseph, MI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
37 nurse practitioner records list a practice address in South Bend
They are 37 of the 3,178 NPPES records with a practice address in South Bend, and 2,582 nurse practitioner records in Indiana.
All 37 in South Bend → All 2,582 in Indiana → Every provider in South Bend →
Other nurse practitioner records in Indiana
- Kristin Abbs, NPFort Wayne, IN1952883084
- Caitlin AckeretColumbus, IN1316655152
- Abigail Adams, NPNewburgh, IN1487518742
- Ashley AdamsKokomo, IN1750857033
- Carolyn Adams, NPIndianapolis, IN1902968381
- Lynne Adams, N.P.Terre Haute, IN1710213665
- Malin Adams, AGPCNP-BCFort Wayne, IN1437824224
- Neda Adams, NPAnderson, IN1699135152
- Cassandra AddingtonRichmond, IN1356067094
- Benjamin AdeboyeHobart, IN1811887359
Common questions
What is Alexis Danielle Green, DNP's NPI number?
Alexis Danielle Green, DNP's National Provider Identifier (NPI) is 1942900857, issued on Mar 8, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Alexis Danielle Green, DNP located?
The NPPES record lists a practice address at 621 Memorial Dr Ste 502, South Bend, IN, 46601. Phone: (574) 647-5875. Providers update this record themselves, so call before visiting.
How can I verify Alexis Danielle Green, DNP's license?
NPPES lists Indiana license number 71017611A, as entered by the provider. Search the Indiana board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.