LISA SPEEDE MCCLURE
NPI 1124715396
Nurse Practitioner - Psychiatric/Mental Health in Petersburg, VA
About Lisa Speede Mcclure NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA SPEEDE MCCLURE (NPI 1124715396) is an individual psychiatric/mental health provider in Petersburg, Virginia, licensed in Virginia (0024186346) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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 Speede Mcclure 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 Reassignment
Medicare enrollment records show Lisa Mcclure reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Clarksville, VA 23927
- Reassigned Medicare billing, Virginia enrollment
- 30 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
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 23803 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PETERSBURG, VA 23803
PETERSBURG, VA 23803
PETERSBURG, VA 23803
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 Mcclure's NPI number?
The NPI number for Lisa Mcclure is 1124715396. It was assigned to this individual provider in the NPPES registry on April 19, 2023.
Where is Lisa Mcclure located?
Lisa Mcclure practices at 541 S Sycamore St, Petersburg, VA 23803. The listed phone number is (804) 835-6100.
What is Lisa Mcclure's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Lisa Mcclure enrolled in Medicare?
Yes. Lisa Mcclure 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 organization bills Medicare for Lisa Mcclure's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Mcclure reassigns Medicare benefits to Southside Behavioral Health (Clarksville, VA). 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 Lisa Mcclure's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lisa Mcclure was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.
# Lisa Speede Mcclure · NPI 1124715396
Psychiatric/Mental Health physician in Petersburg, Virginia. Individual provider, active in the CMS NPPES registry since April 19, 2023.
## Identity
- **NPI:** 1124715396 (Entity type: Individual)
- **Enumerated:** April 19, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 0024186346 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 541 S SYCAMORE ST, Petersburg, VA 23803-5039
- **Phone:** (804) 835-6100
## 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:** Southside Behavioral Health (NPI 1700890761, Clarksville, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124715396) · Data from the CMS NPPES public registry.