ELAINE LEE BUSSEMA (LMSW) – Clinical Social Worker, NPI 1013467083
Clinical Social Worker
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Profile Insights
NPPES metrics only — not quality of care.
4,820 CLINICAL SOCIAL WORKER in MI
Provider Addresses for ELAINE LEE BUSSEMA (LMSW)
451 Health Pkwy
Paw Paw, MI 490798242
Phone: (269) 245-8350
Type: Location
3245 HEALTH DR STE 100
GRANGER, IN 465301380
Phone:
Type: Mailing
677, East Main Street, Centreville, Nottawa Township, Saint Joseph County, Michigan, 49032, United States
SUITE A
CENTREVILLE, MI 490328524
Phone: (269) 467-1000
Fax: (269) 467-3072
Type: Mailing
1101 Jefferson St
Three Rivers, MI 490931024
Phone: (269) 279-1130
Type: Location
721 6TH AVE
THREE RIVERS, MI 490938302
Phone: (692) 731-4182
Fax: (269) 273-3347
Type: Location
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: 2017-05-08
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170508001541 | I | Clinical Social Worker | MI | TBD |
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.
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 49079)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| Cardiovascular Disease (Cardiology), Internal Medicine | MI | |
| Family Practice | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Cardiovascular Disease (Cardiology) | MI | |
| Clinical Social Worker | MI | |
| U R O L O G Y | MI | |
| Nurse Practitioner | MI |
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