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LUDELLA MCCULLOUGH-LEE
NPI 1093409369
Nurse Practitioner - Psychiatric/Mental Health in Mesa, AZ

Active since June 08, 2023PECOS EnrolledAccepts Medicare Assignment
358 E JAVELINA AVE, MESA, AZ 85210(480) 507-3180 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 26, 2024, Jun 8, 2023 (2 updates tracked since 2023).

About Ludella Mccullough-lee NPPES

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

LUDELLA MCCULLOUGH-LEE (NPI 1093409369) is an individual psychiatric/mental health provider in Mesa, Arizona, licensed in Arizona (300564) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Olive Branch, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1093409369
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLUDELLA MCCULLOUGH-LEE
Location Address358 E JAVELINA AVEMesa, AZ 85210-6205
Mailing Address8135 Goodman RdOlive Branch, MS 38654-2103 · (662) 318-5018
Phone(480) 507-3180
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 8, 2023
Last NPPES UpdateApril 26, 20242 updates tracked since enumeration
NPPES CertifiedApril 26, 2024
✔ NPI 1093409369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in AZ · 300564✔ Licensed in MS · 906019
358 E JAVELINA AVE, Mesa, AZ 85210
Open in Google Maps ↗

Secondary Practice Location 1

Location 18135 Goodman RdOlive Branch, MS 38654-2103 · Phone (662) 318-5018

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ludella Mccullough-lee 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 ID9830549591
PECOS Enrollment IDI20231221002535, I20240614000009
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
35 services32 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85210 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMITIE SEXTON
Nurse Practitioner (Psychiatric/Mental Health)
358 E JAVELINA AVE
MESA, AZ 85210
Maricopa County (480) 507-3180
ENOCH ADOMAKO NP
Nurse Practitioner (Psychiatric/Mental Health)
358 E JAVELINA AVE
MESA, AZ 85210
Maricopa County (919) 491-3769
ASHLEE GENEWICK PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
358 E JAVELINA AVE
MESA, AZ 85210
Maricopa County (877) 931-9142
COMMUNITY BRIDGES, INC
Case Management
358 E JAVELINA AVE
MESA, AZ 85210
Maricopa County (480) 831-7566
COMMUNITY BRIDGES, INC
Clinical Medical Laboratory
358 E JAVELINA AVE, SUITE 101
MESA, AZ 85210
Maricopa County (480) 507-3180
COMMUNITY BRIDGES, INC
Clinical Medical Laboratory
358 E JAVELINA AVE, SUITE 102
MESA, AZ 85210
Maricopa County (480) 507-3180
ANDREW OWUSU-ANSAH
Nurse Practitioner (Psychiatric/Mental Health)
358 E JAVELINA AVE
MESA, AZ 85210
Maricopa County (480) 831-7563

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 Ludella Mccullough-lee's NPI number?

The NPI number for Ludella Mccullough-lee is 1093409369. It was assigned to this individual provider in the NPPES registry on June 8, 2023.

Where is Ludella Mccullough-lee located?

Ludella Mccullough-lee practices at 358 E Javelina Ave, Mesa, AZ 85210. The listed phone number is (480) 507-3180.

What is Ludella Mccullough-lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ludella Mccullough-lee enrolled in Medicare?

Yes. Ludella Mccullough-lee 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.

What insurance does Ludella Mccullough-lee accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, BlueCross BlueShield of Tennessee and Oscar Health Plan, Inc. list Ludella Mccullough-lee 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 Ludella Mccullough-lee was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.