Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Daniel Robert Green, DNP, NP-C

Individual provider Registered Nurse · NPI 1407309982

Dr. Daniel Robert Green, DNP, NP-C is a Nurse Practitioner in Rockford, Illinois. Qualified in 2016, 10 years ago. Practices with Medical Pain Management Services, Ltd, a 6-clinician group and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
10
Licensed in
IL, WI
In the registry since
2016
Specialties on file
3
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

1235 N Mulford Rd Ste 222
Rockford, IL 61107-3879
Phone: (815) 397-8400
Fax: (815) 229-0050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209014609 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 155120-30 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 041357363 (IL)

Record details

NPI number1407309982
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP , NP-C
Sole proprietorNo
NPI enumeratedAugust 1, 2016
Last updated in NPPESJuly 17, 2018
Mailing address1235 N Mulford Rd, Rockford, IL 61107-3879

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Medical Pain Management Services, Ltd. — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Rockford