LUDELLA MCCULLOUGH-LEE
NPI 1093409369
Nurse Practitioner - Psychiatric/Mental Health in Mesa, AZ
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
Specialties & Licenses
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 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.
Medicare Billing Reassignments
2Medicare enrollment records show Ludella Mccullough-lee reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mesa, AZ 85210
- Reassigned Medicare billing, Arizona enrollment
- 131 clinicians in this Medicare group
Memphis, TN 38127
- Reassigned Medicare billing, Tennessee enrollment
- 86 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
MESA, AZ 85210
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.
Which organizations bill Medicare for Ludella Mccullough-lee's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ludella Mccullough-lee reassigns Medicare benefits to 2 organizations: Community Bridges, Inc. (Mesa, AZ) and Alliance Healthcare Services (Memphis, TN). 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 Ludella Mccullough-lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ludella Mccullough-lee accept?
Health plans from Blue Cross Blue Shield of Arizona, BlueCross BlueShield of Tennessee, Cigna HealthCare of Arizona, Inc, Cigna Healthcare 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.
# Ludella Mccullough-Lee · NPI 1093409369
Psychiatric/Mental Health physician in Mesa, Arizona. Individual provider, active in the CMS NPPES registry since June 8, 2023.
## Identity
- **NPI:** 1093409369 (Entity type: Individual)
- **Enumerated:** June 8, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 300564 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 358 E JAVELINA AVE, Mesa, AZ 85210-6205
- **Phone:** (480) 507-3180
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Community Bridges, Inc. (NPI 1588348775, Mesa, AZ); Alliance Healthcare Services (NPI 1295898393, Memphis, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** April 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1093409369) · Data from the CMS NPPES public registry.