MICHAEL E BLEA – Clinical Social Worker, NPI 1457030165

MICHAEL E BLEA is a healthcare provider. based in Johnsburg, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 149.026204 (IL). The NPI Number for MICHAEL E BLEA is 1457030165

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL E BLEA
NPI
1457030165
Phone
(815) 995-0306
Address
4210 ELLA LN
Enumeration Date
12 July 2023
Last Update Date
24 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8159950306
Graduation Year
2021 (5 years ago)
PAC ID
0244672194
Professional Enrollment ID
I20240523003490
Address ID
IL600507410MC5443XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

3,557 CLINICAL SOCIAL WORKER in IL

Provider Addresses for MICHAEL E BLEA

  • 4210 ELLA LN

    JOHNSBURG, IL 600515433

    Phone: (815) 995-0306

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-23

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240523003490IClinical Social WorkerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60051)

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Reviews

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Frequently asked questions

What is the registry number for MICHAEL E BLEA?
The registry entry for MICHAEL E BLEA shows NPI 1457030165.
Quick check: is MICHAEL E BLEA active?
Public NPPES data shows MICHAEL E BLEA with an active NPI status right now.
What does the directory say MICHAEL E BLEA does?
Insurance directories may phrase it differently, but here MICHAEL E BLEA maps to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is MICHAEL E BLEA tied to Johnsburg, Illinois?
If you are local to Johnsburg, Illinois, MICHAEL E BLEA may be relevant to your search.
Can I export MICHAEL E BLEA's record?
You can download the official NPPES record; we summarize key fields for readability.

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