MICHAEL DEROSE LCSW
NPI 1295101574
Social Worker - Clinical in Mount Pleasant, WI
About Michael Derose Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL DEROSE LCSW (NPI 1295101574) is an individual clinical provider in Mount Pleasant, Wisconsin, licensed in Wisconsin (8319) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, is affiliated with Ascension All Saints Hospital, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
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
Michael Derose Lcsw 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 Reassignments
2Medicare enrollment records show Michael Derose reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Racine, WI 53405
- Reassigned Medicare billing, Wisconsin enrollment
- 11 clinicians in this Medicare group
Milwaukee, WI 53211
- Reassigned Medicare billing, Wisconsin enrollment
- 1,343 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension All Saints Hospital
Acute Care Hospitals · Racine, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
RACINE, WI 53405
MOUNT PLEASANT, WI 53405
RACINE, WI 53405
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 Michael Derose's NPI number?
The NPI number for Michael Derose is 1295101574. It was assigned to this individual provider in the NPPES registry on August 20, 2015.
Where is Michael Derose located?
Michael Derose practices at 3805B Spring St Suite 320, Mount Pleasant, WI 53405. The listed phone number is (262) 687-2222.
What is Michael Derose's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Michael Derose enrolled in Medicare?
Yes. Michael Derose 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 organizations bill Medicare for Michael Derose's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Derose reassigns Medicare benefits to 2 organizations: Ascension All Saints Hospital, Inc (Racine, WI) and Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI). Each 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 Michael Derose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Derose accept?
Health plans from Anthem Blue Cross and Blue Shield and Network Health list Michael Derose 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.
Is Michael Derose affiliated with any hospitals?
According to CMS data, Michael Derose is affiliated with Ascension All Saints Hospital.
When was this NPI record last updated?
The NPPES record for Michael Derose was last updated on February 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.
# Michael Derose, LCSW · NPI 1295101574
Clinical provider in Mount Pleasant, Wisconsin. Individual provider, active in the CMS NPPES registry since August 20, 2015.
## Identity
- **NPI:** 1295101574 (Entity type: Individual)
- **Enumerated:** August 20, 2015
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 8319 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 3805B SPRING ST, SUITE 320, Mount Pleasant, WI 53405-1641
- **Phone:** (262) 687-2222 · **Fax:** (262) 687-8611
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ascension All Saints Hospital, Inc (NPI 1639123284, Racine, WI); Ascension Medical Group-Southeast Wisconsin Inc (NPI 1194473066, Milwaukee, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** February 11, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1295101574) · Data from the CMS NPPES public registry.