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LISA MICHELLE RAE MSW
NPI 1053980326
Social Worker - Clinical in Springport, MI

Active since June 22, 2021PECOS EnrolledAccepts Medicare Assignment
300 W MAIN ST, SPRINGPORT, MI 49284(517) 857-3495 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 18, 2026, Jun 22, 2021 (2 updates tracked since 2021).

About Lisa Michelle Rae Msw NPPES

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

LISA MICHELLE RAE MSW (NPI 1053980326) is an individual clinical provider in Springport, Michigan, licensed in Michigan (6801110578) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fenton, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1053980326
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLISA MICHELLE RAECredential: MSW
Location Address300 W MAIN STSpringport, MI 49284-9517
Mailing Address3621 S State StAnn Arbor, MI 48108-1633 · (734) 647-5299
Phone(517) 857-3495
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 22, 2021
Last NPPES UpdateAugust 18, 20262 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1053980326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in MI · 6801110578✔ Licensed in MI · 6801104320
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.
300 W MAIN ST, Springport, MI 49284
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Secondary Practice Location 1

Location 11100 Torrey Rd Ste 100Fenton, MI 48430-3327 · Phone (810) 494-7180 ext. 106 · Fax (248) 692-4936

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

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

Lisa Michelle Rae Msw 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 ID1850795469
PECOS Enrollment IDI20210804001625
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 Reassignments

2

Medicare enrollment records show Lisa Rae reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Downriver Mental Health Clinic PC
48 mi
Psychologist
7600 GRAND RIVER RD, SUITE 290
Brighton, MI 48114
  • Reassigned Medicare billing, Michigan enrollment
  • 451 clinicians in this Medicare group
NPI 1225165715 (810) 220-2787
Kindmind Behavioral Health
70 mi
Mental Health
5980 S MAIN ST STE 101
Clarkston, MI 48346
  • Reassigned Medicare billing, Michigan enrollment
  • 22 clinicians in this Medicare group
NPI 1730897711 (248) 625-2970

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 49284 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.

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 Lisa Rae's NPI number?

The NPI number for Lisa Rae is 1053980326. It was assigned to this individual provider in the NPPES registry on June 22, 2021.

Where is Lisa Rae located?

Lisa Rae practices at 300 W Main St, Springport, MI 49284. The listed phone number is (517) 857-3495.

What is Lisa Rae's specialty?

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

Is Lisa Rae enrolled in Medicare?

Yes. Lisa Rae 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 organizations bill Medicare for Lisa Rae's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Rae reassigns Medicare benefits to 2 organizations: Downriver Mental Health Clinic PC (Brighton, MI) and Kindmind Behavioral Health (Clarkston, MI). Each 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 Lisa Rae's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Rae accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Lisa Rae 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 Lisa Rae was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.