MR. JOHN BUELL PSYD
NPI 1063081495
Psychologist - Clinical in Grand Rapids, MI
About Mr. John Buell Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOHN BUELL PSYD (NPI 1063081495) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6301019712) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. John Buell Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show John Buell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49548
- Reassigned Medicare billing, Michigan enrollment
- 135 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49544 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49544
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Buell's NPI number?
The NPI number for John Buell is 1063081495. It was assigned to this individual provider in the NPPES registry on June 21, 2021.
Where is John Buell located?
John Buell practices at 2118 3 Mile Rd NW, Grand Rapids, MI 49544. The listed phone number is (616) 222-3720.
What is John Buell's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is John Buell enrolled in Medicare?
Yes. John Buell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for John Buell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Buell reassigns Medicare benefits to Pine Rest Christian Mental Health Services (Grand Rapids, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Buell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Buell accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list John Buell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for John Buell was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. John Buell, PSYD · NPI 1063081495
Clinical provider in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since June 21, 2021.
## Identity
- **NPI:** 1063081495 (Entity type: Individual)
- **Enumerated:** June 21, 2021
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 6301019712 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 2118 3 MILE RD NW, Grand Rapids, MI 49544-1425
- **Phone:** (616) 222-3720
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Pine Rest Christian Mental Health Services (NPI 1386015683, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** September 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063081495) · Data from the CMS NPPES public registry.