DALLAS LEIGH UPCHURCH PMHNP
NPI 1013551233
Nurse Practitioner - Psychiatric/Mental Health in Temple, TX
About Dallas Leigh Upchurch Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DALLAS LEIGH UPCHURCH PMHNP (NPI 1013551233) is an individual psychiatric/mental health provider in Temple, Texas, licensed in Oregon (10009760) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dallas Leigh Upchurch Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Dallas Upchurch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97239
- Reassigned Medicare billing, Oregon enrollment
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 76504 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.
TEMPLE, TX 76504
TEMPLE, TX 76504
TEMPLE, TX 76504
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 Dallas Upchurch's NPI number?
The NPI number for Dallas Upchurch is 1013551233. It was assigned to this individual provider in the NPPES registry on October 30, 2019.
Where is Dallas Upchurch located?
Dallas Upchurch practices at 1901 Veterans Memorial Dr, Temple, TX 76504. The listed phone number is (254) 778-4811.
What is Dallas Upchurch's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Dallas Upchurch enrolled in Medicare?
Yes. Dallas Upchurch is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Dallas Upchurch's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dallas Upchurch reassigns Medicare benefits to Lakeside Serenity Psychiatry, LLC (Portland, OR). 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 Dallas Upchurch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dallas Upchurch accept?
Health plans from Blue Cross and Blue Shield of Texas, BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Dallas Upchurch 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 Dallas Upchurch was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Dallas Leigh Upchurch, PMHNP · NPI 1013551233
Psychiatric/Mental Health physician in Temple, Texas. Individual provider, active in the CMS NPPES registry since October 30, 2019.
## Identity
- **NPI:** 1013551233 (Entity type: Individual)
- **Enumerated:** October 30, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 10009760 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1901 VETERANS MEMORIAL DR, Temple, TX 76504-7451
- **Phone:** (254) 778-4811
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lakeside Serenity Psychiatry, LLC (NPI 1366308785, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** March 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1013551233) · Data from the CMS NPPES public registry.