JOHN E CARLSON
NPI 1700365517
Social Worker - Clinical in Sandusky, MI

Active since August 13, 2018PECOS EnrolledAccepts Medicare Assignment
227 E SANILAC RD, SANDUSKY, MI 48471(810) 648-0330 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About John E Carlson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN E CARLSON (NPI 1700365517) is an individual clinical provider in Sandusky, Michigan, licensed in Michigan (6801089358) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2007).

NPPES Registry Identity

NPI1700365517
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJOHN E CARLSON
Location Address227 E SANILAC RDSandusky, MI 48471-1160
Mailing Address15 Nims StCroswell, MI 48422-1233
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2007
Enumeration DateAugust 13, 2018
Last NPPES UpdateOctober 22, 2024
NPPES CertifiedOctober 22, 2024
✔ NPI 1700365517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801089358
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
227 E SANILAC RD, Sandusky, MI 48471

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

John E Carlson 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.

PECOS PAC ID2466784327
PECOS Enrollment IDI20191025000066
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show John Carlson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
217 E SANILAC RD
Sandusky, MI 48471
  • Reassigned Medicare billing, Michigan enrollment
  • 23 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 48471 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Technician, Other
227 E SANILAC RD
SANDUSKY, MI 48471
Social Worker
227 E SANILAC RD
SANDUSKY, MI 48471
Social Worker
227 E SANILAC RD
SANDUSKY, MI 48471
Technician, Other
227 E SANILAC RD
SANDUSKY, MI 48471
Social Worker
227 E SANILAC RD
SANDUSKY, MI 48471
Technician, Other
227 E SANILAC RD
SANDUSKY, MI 48471
Technician, Other
227 E SANILAC RD
SANDUSKY, MI 48471
Social Worker
227 E SANILAC RD
SANDUSKY, MI 48471

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 Carlson's NPI number?

The NPI number for John Carlson is 1700365517. It was assigned to this individual provider in the NPPES registry on August 13, 2018.

Where is John Carlson located?

John Carlson practices at 227 E Sanilac Rd, Sandusky, MI 48471. The listed phone number is (810) 648-0330.

What is John Carlson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is John Carlson enrolled in Medicare?

Yes. John Carlson 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 Carlson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Carlson reassigns Medicare benefits to Sanilac County Community Mental Health Authority (Sandusky, 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 Carlson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Carlson was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.