MR. JOHN EDWARD SCALISE M.A.
NPI 1346320454
Social Worker - Clinical in Mount Pleasant, MI
About Mr. John Edward Scalise M.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOHN EDWARD SCALISE M.A. (NPI 1346320454) is an individual clinical provider in Mount Pleasant, Michigan, licensed in Michigan (6801062435) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1981).
NPPES Registry Identity
Specialties & Licenses 3
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 Edward Scalise M.a. 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 Scalise reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Midland, MI 48642
- Reassigned Medicare billing, Michigan enrollment
- 8 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 48858 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.
MOUNT PLEASANT, MI 48858
MT PLEASANT, MI 48858
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 Scalise's NPI number?
The NPI number for John Scalise is 1346320454. It was assigned to this individual provider in the NPPES registry on October 16, 2006.
Where is John Scalise located?
John Scalise practices at 301 S Crapo St Suite 200, Mount Pleasant, MI 48858. The listed phone number is (989) 772-5938.
What is John Scalise's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is John Scalise enrolled in Medicare?
Yes. John Scalise 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 Scalise's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Scalise reassigns Medicare benefits to Behavioral Medicine Associates Of Mid Michigan PC (Midland, 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 Scalise's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Scalise accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list John Scalise 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 Scalise was last updated on May 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Mr. John Edward Scalise, M.A. · NPI 1346320454
Clinical provider in Mount Pleasant, Michigan. Individual provider, active in the CMS NPPES registry since October 16, 2006.
## Identity
- **NPI:** 1346320454 (Entity type: Individual)
- **Enumerated:** October 16, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 6801062435 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 301 S CRAPO ST, SUITE 200, Mount Pleasant, MI 48858-2941
- **Phone:** (989) 772-5938
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Behavioral Medicine Associates Of Mid Michigan PC (NPI 1740370089, Midland, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1981
## Record status
- **NPPES last updated:** May 12, 2011
---
Source: [NPI Profile](https://npiprofile.com/npi/1346320454) · Data from the CMS NPPES public registry.