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

Mrs. Alexis Danielle Green, DNP

Individual provider Nurse Practitioner · NPI 1942900857

Mrs. Alexis Danielle Green, DNP is a Nurse Practitioner in South Bend, Indiana. Qualified in 2022, 4 years ago. Practices with Lakeland Medical Practices, a 287-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Michigan.

Years since qualifying
4
Licensed in
IN, MI
In the registry since
2023
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

621 Memorial Dr Ste 502
South Bend, IN 46601-1075
Phone: (574) 647-5875
Fax: (574) 647-5878
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 Arcade Ave Ste 320, Elkhart, IN 46514-2485 — (574) 523-7900

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704398971 (MI)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 71017611A (IN)

Record details

NPI number1942900857
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP
Sole proprietorNo
NPI enumeratedMarch 8, 2023
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lakeland Medical Practices — 287 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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