MR. JOHN WILLIAM PETRAS (PH.D.) – Social Worker, NPI 1881947653

MR. JOHN WILLIAM PETRAS (PH.D.) is a healthcare provider. based in Mount pleasant, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials PH.D.. They hold a License No. 6401000058 (MI). The NPI Number for MR. JOHN WILLIAM PETRAS (PH.D.) is 1881947653

Main info

Male
Sole Proprietor
62 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOHN WILLIAM PETRAS (PH.D.)
NPI
1881947653
Phone
(989) 773-9600
Address
615 E. WISCONSIN STREET
Enumeration Date
18 October 2012
Last Update Date
18 October 2012

Doctor Profile

Medical School Name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Secondary Phone
2313477890
Graduation Year
1964 (62 years ago)
PAC ID
1557594777
Group Practice PAC ID
8820052095
Professional Enrollment ID
I20140423001828
Address ID
MI497709420PE1420XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:13State licenses:3Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

Provider Addresses for MR. JOHN WILLIAM PETRAS (PH.D.)

  • 615 E. WISCONSIN STREET

    MOUNT PLEASANT, MI 488582767

    Phone: (989) 773-9600

    Fax: (989) 772-3387

    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: 2014-04-23

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140423001828IClinical Social WorkerMITBD

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 48858)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820052095View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Clinical Social WorkerMI
Nurse PractitionerMI
Mental Health CounselorMI
Physician AssistantMI
Clinical Social WorkerMI
-MI
Clinical Social WorkerMI
P S Y C H I A T R YMI
Mental Health CounselorMI

Reviews

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Frequently asked questions

What is the standard ID for MR. JOHN WILLIAM PETRAS (PH.D.) in the U.S.?
In the U.S., MR. JOHN WILLIAM PETRAS (PH.D.) is identified by NPI 1881947653.
Quick check: is MR. JOHN WILLIAM PETRAS (PH.D.) active?
Public NPPES data shows MR. JOHN WILLIAM PETRAS (PH.D.) with an active NPI status right now.
What does the directory say MR. JOHN WILLIAM PETRAS (PH.D.) does?
Insurance directories may phrase it differently, but here MR. JOHN WILLIAM PETRAS (PH.D.) maps to Social Worker. Clinical services aligned with this taxonomy classification.
Which community is linked to MR. JOHN WILLIAM PETRAS (PH.D.)?
MR. JOHN WILLIAM PETRAS (PH.D.) shows a connection to Mount Pleasant, Michigan in registry-derived data.
Can I export MR. JOHN WILLIAM PETRAS (PH.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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